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Individual

PATRICK JAMES CAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-0577
Mailing address
3965 OLD US HIGHWAY 45 S, PADUCAH, KY 42003-5791
(270) 534-4333

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2527
TN
363A00000X
Physician Assistant
Primary
50.004594RX
OH
363A00000X
Physician Assistant
PA086
KY
363AS0400X
Surgical Physician Assistant
PA086
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9500042800
KY
Enumeration date
10/25/2005
Last updated
07/31/2018
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