# MRS. SARAH BETH MCQUEEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114174984
- **Gender:** F
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1157 | KY | Yes |
| 363A00000X | Physician Assistant | 1638 | TN | — |
| 363A00000X | Physician Assistant | TC043 | KY | — |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0297025 | KY MEDICARE | KY |
| 01 | — | 1157 | STATE LICENSE | KY |
| 05 | — | 1511676 | — | TN |
| 01 | — | 1638 | STATE LICENSE | TN |
| 01 | — | 3665298 | TN MEDICARE | TN |
| 01 | — | 36652981 | TN MEDICARE | TN |
| 05 | — | 7100180060 | — | KY |