Individual
MRS. JACQUELYNN ANNE LIDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1239 WOODLAND DR STE 105, ELIZABETHTOWN, KY 42701-2770
(270) 765-7676
(270) 982-9222
Mailing address
2280 CHERRY SPRING RD, CUB RUN, KY 42729-8629
(270) 524-4257
(270) 982-9222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA147
KY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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