Individual
IRELAND FALCONBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 LANE ALLEN RD, LEXINGTON, KY 40504-3658
(260) 483-9081
Mailing address
2121 ROSS ST, MADISON, IN 47250-2659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2850
KY
Other
Enumeration date
12/16/2021
Last updated
01/19/2022
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