Individual
ALLISON BUDDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-4027
(859) 572-3618
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003551A
IN
363A00000X
Physician Assistant
Primary
PA2932
KY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473608
—
OH
05
—
7100793160
—
KY
Enumeration date
11/09/2021
Last updated
03/25/2022
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