Individual
DANIELLE M MAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA857
KY
363AM0700X
Medical Physician Assistant
PA857
KY
363AS0400X
Surgical Physician Assistant
PA857
KY
363AS0400X
Surgical Physician Assistant
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1226500
TAX ID
KY
Enumeration date
02/16/2006
Last updated
11/03/2025
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