Individual
REBECCA CALLIE NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 VETERANS DR, WILMORE, KY 40390-9775
(859) 858-2814
Mailing address
100 VETERANS DR, WILMORE, KY 40390-9775
(859) 229-6740
(859) 258-4243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA188
KY
363AM0700X
Medical Physician Assistant
PA188
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001889
—
KY
Enumeration date
08/09/2006
Last updated
08/23/2023
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