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NPI Code Detail

MEDICARE: MISS LEANNE MAYS PAC

MEDICARE: MISS LEANNE MAYS PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA921KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831107713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LEANNE MAYS PAC
Provider Business Mailing Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number : 800-320-9765
Fax Number :
Provider Business Practice Location Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number : 800-320-9765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/18/2022

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Directions to “ MISS LEANNE MAYS PAC” Practice Location

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