Individual provider · Type 1 NPI
Linda Mae Moran, CERT SURG 1ST ASST
Surgical Physician Assistant · Paducah, KY
NPI number
1124161609
Active
Practice location
275 Wedgewood Place
Paducah, KY 42001
Fax (270) 442-7167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1124161609
Linda Mae Moran, CERT SURG 1ST ASST's National Provider Identifier is 1124161609, issued on Feb 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Paducah, KY. The record was last updated on Jul 8, 2007.