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Individual

JENNIFER HITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 ROSE ST, HX311, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128
Mailing address
800 ROSE ST, HX311, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1878
KY
363A00000X
Physician Assistant
TC259
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100275130
KY
01
K120521
MEDICARE
KY
01
PA1878
KY MEDICAL LICENSE
KY
Enumeration date
02/07/2014
Last updated
04/05/2016
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