Individual
DARCY TADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 FOUNTAIN CT, LEXINGTON, KY 40509-2694
(859) 263-8807
(859) 263-8808
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 263-8808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7990
GA
363A00000X
Physician Assistant
Primary
PA2707
KY
363A00000X
Physician Assistant
PAC0778
ND
363AM0700X
Medical Physician Assistant
PA2707
KY
363AS0400X
Surgical Physician Assistant
PA2707
KY
Other
Enumeration date
06/21/2016
Last updated
03/10/2026
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