Individual provider · Type 1 NPI

Theresia Renner, PA-C

Surgical Physician Assistant · Madisonville, KY

NPI number 1740387372 Active

Practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	PA195 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1740387372

Theresia Renner, PA-C's National Provider Identifier is 1740387372, issued on Sep 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madisonville, KY. The record was last updated on Apr 19, 2011.