Individual
MISS ELISE MARIE ELSBERND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
UNIVERSITY OF KENTUCKY CHILDRENS HOSPITAL, 800 ROSE STREET, LEXINGTON, KY 40536-0001
(859) 323-5741
Mailing address
2334 LAKE PARK RD, APT 201, LEXINGTON, KY 40502-6606
(563) 379-7134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IN PROCESS
KY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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