Individual
MRS. SHEILA ELAINE THORNSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502
(859) 269-4668
(859) 266-5577
Mailing address
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502
(859) 269-4668
(859) 266-5577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA254
KY
363AM0700X
Medical Physician Assistant
Primary
PA254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000154
—
KY
Enumeration date
01/03/2006
Last updated
05/12/2021
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