Individual
EMILY MAE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2475
KY
363A00000X
Physician Assistant
TC800
KY
363AM0700X
Medical Physician Assistant
PA2475
KY
363AS0400X
Surgical Physician Assistant
PA2475
KY
Other
Enumeration date
02/12/2019
Last updated
05/24/2021
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