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Individual

MR. DANIEL COLBY NEWSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3205 SUMMIT SQUARE, SUITE 100, LEXINGTON, KY 40509
(859) 335-9041
Mailing address
3170 MAPLELEAF DR, APARTMENT 1504, LEXINGTON, KY 40509-2612
(606) 205-9897

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC036
KY

Other

Enumeration date
11/09/2010
Last updated
12/07/2020
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