Individual
MS. WENDEE MARIE EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
901 WALLACE AVE, LEITCHFIELD, KY 42754-1417
(270) 259-5641
(270) 259-5309
Mailing address
901 WALLACE AVE, LEITCHFIELD, KY 42754-1417
(270) 259-5641
(270) 259-5309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA1755
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100226220
—
KY
Enumeration date
02/08/2007
Last updated
01/30/2019
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