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Individual
MS. ELAINE COURTNEY
Active
Individual
MS. ELAINE COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08659
TX
363A00000X
Physician Assistant
Primary
TC519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331715801
—
TX
05
—
7100437090
—
KY
Enumeration date
10/14/2013
Last updated
01/26/2017
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