Individual
KRISTYN J. DULLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
216 FOUNTAIN CT, 216, LEXINGTON, KY 40509-2510
(859) 276-5008
(859) 278-6401
Mailing address
216 FOUNTAIN CT, 216, LEXINGTON, KY 40509-2510
(859) 276-5008
(859) 278-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2644
KY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100681320
—
KY
Enumeration date
06/05/2020
Last updated
10/24/2023
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