Individual
CASSANDRA MARIE CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
800 ROSE ST, ROOM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Mailing address
800 ROSE ST ROOM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2346
KY
363A00000X
Physician Assistant
PA9106776
FL
363A00000X
Physician Assistant
TC691
KY
363AM0700X
Medical Physician Assistant
PA2346
KY
363AS0400X
Surgical Physician Assistant
PA2346
KY
Other
Enumeration date
09/12/2012
Last updated
08/17/2020
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