Individual
KRISTYN J. DULLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 N EAGLE CREEK DR, LEXINGTON, KY 40509-2121
(859) 264-9820
(859) 543-0994
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 543-0994
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
05/28/2026
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