Organization · Type 2 NPI

Commonwealth of Kentucky

Medical Physician Assistant · Lexington, KY

NPI number 1972054443 Active

About NPI 1972054443

Commonwealth of Kentucky's National Provider Identifier is 1972054443, issued on Oct 20, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, KY. The record was last updated on Oct 20, 2016.