Individual
MALINDA C ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-6203
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003745
—
KY
01
—
P00386299
RAILROAD MEDICARE
KY
Enumeration date
07/18/2006
Last updated
04/13/2023
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