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Individual

JENNIFER DAWN MALCHASKI

Active
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Individual

JENNIFER DAWN MALCHASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPAS

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2294
KY
363A00000X
Physician Assistant
TC643
KY
363AM0700X
Medical Physician Assistant
PA2294
KY
363AS0400X
Surgical Physician Assistant
PA2294
KY

Other

Enumeration date
10/02/2017
Last updated
08/12/2021
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