Individual
DAVID MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5661
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA379
KY
363AM0700X
Medical Physician Assistant
PA379
KY
363AS0400X
Surgical Physician Assistant
Primary
PA379
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000378
—
KY
Enumeration date
08/09/2006
Last updated
02/10/2020
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