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NPI Code Detail

MEDICARE: DANIELLE M MAYTON PA-C

MEDICARE:   DANIELLE M MAYTON  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 AssistantPA857KY
2363AS0400XSurgical Physician AssistantKY
3363AS0400XSurgical Physician AssistantPA857KY
4363AM0700XMedical Physician AssistantPA857KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161-1226500OTHERKYTAX ID

General Provider Information

NPI Number : 1619941424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE M MAYTON PA-C
Provider Business Mailing Address
First Line : 3480 YORKSHIRE MEDICAL PARK
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1886
Country : US
Telephone Number : 859-263-5140
Fax Number : 859-263-5141
Provider Business Practice Location Address
First Line : 3480 YORKSHIRE MEDICAL PARK
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1886
Country : US
Telephone Number : 859-263-5140
Fax Number : 859-263-5141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 11/03/2025

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Directions to “ DANIELLE M MAYTON PA-C” Practice Location

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