Individual
BRIDGET GLENNON PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-0295
(859) 323-1256
Mailing address
UK CARDIOLOGY CLINIC, 800 ROSE STREET - GILL HEART INSTITUTE, LEXINGTON, KY 40536-0001
(859) 323-0295
(859) 257-8699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1159
KY
363AM0700X
Medical Physician Assistant
PA1159
KY
363AS0400X
Surgical Physician Assistant
PA1159
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100061310
—
KY
Enumeration date
09/12/2008
Last updated
11/15/2024
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