# AARON D GEORGEL

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

## Provider details

- **NPI number:** 1154473759
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | PA692 | KY | — |
| 363AS0400X | Surgical Physician Assistant | PA692 | KY | — |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 07/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000507776 | ANTHEM -CTS | — |
| 01 | — | 085460 | SIHO - CTS | — |
| 01 | — | 2838725000 | PAD - CTS 560 | — |
| 01 | — | 50014981 | PASSPORT - CTS 560 | — |
| 01 | — | 50030383 | PASSPORT- NOTC | KY |
| 05 | — | 95001962 | — | KY |
| 01 | — | P00394137 | RRMCR - CTS | KY |