Individual
ALICIA F. TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 821-4444
(270) 821-9188
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA251
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500116000
—
KY
Enumeration date
03/31/2006
Last updated
03/01/2016
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