Individual
MARY OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3085 LAKECREST CIR, LEXINGTON, KY 40513-1707
(859) 258-8600
(859) 258-8610
Mailing address
1775 ALYSHEBA WAY, STE 201, LEXINGTON, KY 40509-2381
(859) 278-5007
(859) 278-6867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2417
KY
Other
Enumeration date
08/14/2018
Last updated
12/19/2019
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