Individual
MISS HANNAH S. ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 SOUTHPOINT DR, LEXINGTON, KY 40515-6350
(859) 272-1928
(859) 271-9601
Mailing address
630 SOUTHPOINT DR, LEXINGTON, KY 40515-6350
(859) 272-1928
(859) 271-9601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1621
KY
363A00000X
Physician Assistant
TC013
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
LC MEDICARE GROUP ID
KY
05
—
7100169800
—
KY
01
—
95900478
LC MEDICAID GROUP ID
KY
Enumeration date
12/03/2009
Last updated
11/20/2014
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