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Individual

CORA E MIKESELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 875-5240
Mailing address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003111A
IN
363A00000X
Physician Assistant
Primary
PA2122
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300044886
IN
05
7100437470
KY
Enumeration date
08/15/2016
Last updated
04/03/2025
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