Individual
ELIZABETH AMANDA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 TUCKER DR, MAYSVILLE, KY 41056-9182
(606) 759-0002
(606) 759-0103
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1876
KY
363A00000X
Physician Assistant
TC262
KY
Other
Enumeration date
03/14/2014
Last updated
03/09/2021
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