Individual
JOSEPH D SEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2407 RING RD STE 108, ELIZABETHTOWN, KY 42701-5938
(270) 735-1588
(270) 735-1589
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 735-1588
(270) 735-1589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100480
—
KY
Enumeration date
02/07/2011
Last updated
06/06/2014
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