Individual
ABIGAIL VANBUSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-2513
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC130
KY PA LICENSE
KY
Enumeration date
04/13/2021
Last updated
11/02/2021
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