Individual
MRS. AUGUST RAE IGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
803 MEYERS BAKER RD STE 200, LONDON, KY 40741-3040
(606) 878-3240
Mailing address
605 20TH ST, CORBIN, KY 40701-2459
(606) 521-3106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2865
KY
Other
Enumeration date
06/02/2020
Last updated
04/04/2022
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