Individual
JAMIE KAYLA VAN CLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE L119, LEXINGTON, KY 40536-0004
(859) 257-3253
(859) 323-1203
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006756
GA
363A00000X
Physician Assistant
Primary
TC035
KY
363AM0700X
Medical Physician Assistant
TC035
KY
363AS0400X
Surgical Physician Assistant
TC035
KY
Other
Enumeration date
03/19/2013
Last updated
06/10/2025
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