Individual
MACIE LYNN VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8850 HICKORY HILL RD, LEXINGTON, KY 40515-9503
(859) 618-4055
Mailing address
8850 HICKORY HILL RD, LEXINGTON, KY 40515-9503
(859) 618-4055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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