Individual
MS. KEISHA NICHOLE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
828 LANE ALLEN RD, LEXINGTON, KY 40504-3658
(919) 932-5700
(919) 933-6881
Mailing address
PO BOX 1006, PINE KNOT, KY 42635-1006
(606) 310-1812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2824
KY
363AM0700X
Medical Physician Assistant
4064
TN
363AM0700X
Medical Physician Assistant
4832
TN
363AM0700X
Medical Physician Assistant
MT6782482
KY
363AM0700X
Medical Physician Assistant
Primary
PA2824
KY
363AM0700X
Medical Physician Assistant
TC055
KY
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
09/12/2019
Last updated
06/17/2022
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