Individual
ANGELA PANNUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
336 29TH ST, ASHLAND, KY 41101-1900
(063) 244-4046
(606) 326-1159
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1868
KY
Other
Enumeration date
10/29/2013
Last updated
05/13/2019
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