Individual
BEVAN BURCH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
Mailing address
PO BOX 950112 DEPT# 52387, LOUISVILLE, KY 40295-0112
(855) 691-9890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC728
KY
Other
Enumeration date
08/09/2018
Last updated
09/05/2019
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