Individual provider · Type 1 NPI
Jacquelynn Anne Liddington, PAC
Medical Physician Assistant · Elizabethtown, KY
NPI number
1326106873
Active
Practice location
1239 Woodland Dr Ste 105
Elizabethtown, KY 42701-2770
Fax (270) 982-9222
Mailing address
2280 Cherry Spring Rd
Cub Run, KY 42729-8629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA147 (KY) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Elizabethtown
About NPI 1326106873
Jacquelynn Anne Liddington, PAC's National Provider Identifier is 1326106873, issued on Dec 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Elizabethtown, KY. The record was last updated on Jul 8, 2007.