Jacquelynn Anne Liddington PAC

NPI 1326106873 - Physician Assistant - 363AM0700X

NPI Details
NPI 1326106873
Gender Female
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1239 WOODLAND DR STE 105
ELIZABETHTOWN KY, 42701-2770, US
Phone (270) 765-7676
Fax (270) 982-9222
Business Location
2280 CHERRY SPRING RD
CUB RUN KY, 42729-8629, US
Phone (270) 524-4257
Fax (270) 982-9222
Toxanomy
Taxonomy Code 363AM0700X
License State Kentucky
License Number PA147
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According to our database, Mrs. Jacquelynn Anne Liddington PAC NPI is 1326106873, taxonomy code is 363AM0700X and license number is PA147, license state is located at Kentucky. Jacquelynn Anne Liddington PAC physically located at 1239 Woodland Dr Ste 105, Elizabethtown KY, 42701-2770. NPI Number Jacquelynn Anne Liddington PAC has the Individual type.

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1326106873 NPI number is provided on an as is basis without warranty of any kind. 1326106873 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelynn Anne Liddington PAC are for informational purposes only.