Kelly Marie Pesis PA

NPI 1114073939 - Physician Assistant - 363A00000X

NPI Details
NPI 1114073939
Gender Female
Enumeration Date 01/26/2007
Last Updated 11/18/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
289 IRELAND AVE
IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX KY, 40121-5111, US
Phone (502) 624-9007
Fax (502) 624-0252
Business Location
289 IRELAND AVE
IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX KY, 40121-5111, US
Phone (502) 624-9007
Fax (502) 624-0252
Toxanomy
Taxonomy Code 363A00000X
License State Kentucky
License Number PA718
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According to our database, Mrs. Kelly Marie Pesis PA NPI is 1114073939, taxonomy code is 363A00000X and license number is PA718, license state is located at Kentucky. Kelly Marie Pesis PA physically located at 289 Ireland Ave, Fort Knox KY, 40121-5111. NPI Number Kelly Marie Pesis PA has the Individual type.

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1114073939 NPI number is provided on an as is basis without warranty of any kind. 1114073939 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Marie Pesis PA are for informational purposes only.