Individual
JASON AARON CANTERBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 RUBY DR, MADISONVILLE, KY 42431-2168
(270) 399-7900
(270) 399-7910
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9107697
FL
Other
Enumeration date
01/13/2014
Last updated
05/13/2022
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