Individual
JENNIFER DAWN MALCHASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-0100
(859) 323-2299
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 358-6717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2294
KY
363A00000X
Physician Assistant
TC643
KY
363AM0700X
Medical Physician Assistant
PA2294
KY
363AS0400X
Surgical Physician Assistant
PA2294
KY
Other
Enumeration date
10/02/2017
Last updated
08/12/2021
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