Amanda Jackson Goodwin PAC

NPI 1093881393 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093881393
Gender Female
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
740 S LIMESTONE ST
LEXINGTON KY, 40536-0284, US
Phone (859) 323-6211
Fax (859) 257-8675
Business Location
138 LEADER AVE
LEXINGTON KY, 40508-3215, US
Phone (859) 257-7910
Fax (859) 257-7899
Toxanomy
Taxonomy Code 363AM0700X
License State Kentucky
License Number PA912
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According to our database, Amanda Jackson Goodwin PAC NPI is 1093881393, taxonomy code is 363AM0700X and license number is PA912, license state is located at Kentucky. Amanda Jackson Goodwin PAC physically located at 740 S Limestone St, Lexington KY, 40536-0284. NPI Number Amanda Jackson Goodwin PAC has the Individual type.

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1093881393 NPI number is provided on an as is basis without warranty of any kind. 1093881393 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Jackson Goodwin PAC are for informational purposes only.