Individual
MRS. LESLI E. NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1305 N ELM ST STE A, HENDERSON, KY 42420-2783
(270) 831-7937
(270) 831-7939
Mailing address
1305 N ELM ST STE A, HENDERSON, KY 42420-2783
(270) 831-7937
(270) 831-7939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1993
KY
363AM0700X
Medical Physician Assistant
Primary
PA1993
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100416580
—
KY
Enumeration date
02/15/2013
Last updated
10/22/2019
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