Individual
JOSEPH A EDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1194
(859) 323-5956
(859) 323-1080
Mailing address
234 MEDICAL CIR, MOREHEAD, KY 40351-1194
(606) 783-6641
(606) 780-2373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA411
KY
363AM0700X
Medical Physician Assistant
PA411
KY
363AS0400X
Surgical Physician Assistant
PA411
KY
Other
Enumeration date
12/18/2008
Last updated
11/09/2023
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