Individual
MRS. GRETCHEN B. CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
Mailing address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
(859) 226-0207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA385
KY
Other
Enumeration date
06/20/2005
Last updated
01/09/2019
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