Elizabeth Jane Kennedy, PAC
Physician Assistant in Lexington, KY. Individual provider (NPI-1).
NPI number1063528107
StatusActive
Last updated in NPPESAug 2, 2019
Details
- NPI
- 1063528107
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Jane Kennedy
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Aug 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA311 | KY | Yes |
Practice location
1401 Harrodsburg RdSuite C-305
Lexington, KY 40504-3751
Phone 859-278-8400 · Fax 859-276-3700
Mailing address
Po Box 936London, KY 40743-0936
Phone 606-330-7818 · Fax 606-330-7825
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