Individual provider · Type 1 NPI

Keisha Nichole Todd, PHYSICIAN ASSISTANT

Medical Physician Assistant · Lexington, KY

NPI number 1376193250 Active

Practice location

828 Lane Allen Rd
Lexington, KY 40504-3658

Fax (919) 933-6881

Mailing address

PO Box 1006
Pine Knot, KY 42635-1006

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2824 (KY)
Medical Physician Assistant 363AM0700X4064 (TN)
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant 363AM0700XTC055 (KY)
Medical Physician Assistant 363AM0700XMT6782482 (KY)
Medical Physician Assistant 363AM0700X4832 (TN)
Medical Physician Assistant Primary 363AM0700XPA2824 (KY)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1376193250

Keisha Nichole Todd, PHYSICIAN ASSISTANT's National Provider Identifier is 1376193250, issued on Sep 12, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, KY. The record was last updated on Jun 17, 2022.