Individual
MARY A ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
271 E MAIN ST, HAZARD, KY 41701-1939
(606) 439-1316
(606) 435-0752
Mailing address
47 FIELDS LN, BUSY, KY 41723-8849
(606) 487-0868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004792
—
KY
Enumeration date
08/01/2006
Last updated
04/01/2013
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