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NPI Code Detail

MEDICARE: SARAH JEAN ELIZABETH OCHITWA PA-C

MEDICARE: SARAH JEAN ELIZABETH OCHITWA 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 AssistantPA3787KY

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 : 1649169442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JEAN ELIZABETH OCHITWA PA-C
Provider Business Mailing Address
First Line : 106 MAPLE AVE
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1316
Country : US
Telephone Number : 309-824-5209
Fax Number :
Provider Business Practice Location Address
First Line : 1301 N RACE ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-3454
Country : US
Telephone Number : 270-651-4444
Fax Number : 270-651-8698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/10/2026

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Directions to “ SARAH JEAN ELIZABETH OCHITWA PA-C” Practice Location

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