# MISS MEGAN AUDRA COURTNEY

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

## Provider details

- **NPI number:** 1265486732
- **Gender:** F
- **Credential:** PA-C, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1655 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | 10001823A | IN | — |
| 363AM0700X | Medical Physician Assistant | PA1655 | KY | — |
| 363AS0400X | Surgical Physician Assistant | 10001823A | IN | — |
| 363AS0400X | Surgical Physician Assistant | PA1655 | KY | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 07/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000728596 | ANTHEM BC/BS | KY |
| 05 | — | 300008425 | — | IN |
| 05 | — | 7100193870 | — | KY |
| 01 | — | P01122799 | RR MEDICARE | KY |