Individual provider · Type 1 NPI

Jennifer L. Sudduth, PA-C

Medical Physician Assistant · Lexington, KY

NPI number 1114941895 Active

Practice location

1401 Harrodsburg Rd, Suite B-160
Lexington, KY 40504-3751

Call (859) 276-4486 Map

Fax (859) 277-9164

Mailing address

PO Box 936
London, KY 40743-0936

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA687 (KY)

Medical Physician Assistant: Definition to come...

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About NPI 1114941895

Jennifer L. Sudduth, PA-C's National Provider Identifier is 1114941895, issued on Jul 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, KY. The record was last updated on Jul 10, 2019.