Individual
KENDRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 562-1085
(859) 257-5152
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1631
KY
363AM0700X
Medical Physician Assistant
PA1631
KY
363AS0400X
Surgical Physician Assistant
PA1631
KY
Other
Enumeration date
08/04/2011
Last updated
02/06/2024
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