Individual
TAMMY D CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 821-4444
(270) 821-9188
Mailing address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 821-4444
(270) 821-9188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475416
BCBS #
KY
05
—
9500114500
—
KY
Enumeration date
03/31/2006
Last updated
05/10/2022
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