Individual
MRS. REBECCA WARD HOGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4071 TATES CREEK CENTRE DR STE 100, LEXINGTON, KY 40517-3062
(859) 273-3888
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA285
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000097
—
KY
Enumeration date
08/28/2006
Last updated
12/04/2020
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