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NPI Code Detail

MEDICARE: MRS. BRANDY LYNN CALDWELL-ONEY PA-C

MEDICARE:  MRS. BRANDY LYNN CALDWELL-ONEY  PA-C
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 AssistantTC640KY
2363AM0700XMedical Physician AssistantPA906KY
3363AS0400XSurgical Physician AssistantPA906KY
4363A00000XPhysician AssistantPA906KY

General Provider Information

NPI Number : 1336166909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRANDY LYNN CALDWELL-ONEY PA-C
Provider Business Mailing Address
First Line : 100 TRADE STREET
Second Line : STE 155
City : LEXINGTON
State : KY
Zip : 40511
Country : US
Telephone Number : 859-425-2555
Fax Number : 859-367-4957
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-6371
Fax Number : 859-257-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 11/22/2022

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Directions to “ MRS. BRANDY LYNN CALDWELL-ONEY PA-C” Practice Location

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