Individual
JASON E TEWMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1888
(859) 323-5956
(859) 323-1080
Mailing address
1136 MONARCH ST, LEXINGTON, KY 40513-1888
(859) 223-0000
(859) 223-0602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1618
KY
363AM0700X
Medical Physician Assistant
PA1618
KY
363AS0400X
Surgical Physician Assistant
PA1618
KY
Other
Enumeration date
12/13/2010
Last updated
02/05/2024
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