Healthcare Provider Details

I. General information

NPI: 1902832108
Provider Name (Legal Business Name): CELIA PARROTT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELIA TOON PA-C

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 LONE OAK RD SUITE 235
PADUCAH KY
42003-7913
US

IV. Provider business mailing address

PO BOX 636961
CINCINNATI OH
45263-6961
US

V. Phone/Fax

Practice location:
  • Phone: 270-442-9463
  • Fax: 270-442-2241
Mailing address:
  • Phone: 513-981-5130
  • Fax: 513-981-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA844
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA844
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA844
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: