Individual
KATE MARINA HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2255
KY
363AM0700X
Medical Physician Assistant
PA2255
KY
363AS0400X
Surgical Physician Assistant
PA2255
KY
Other
Enumeration date
08/03/2017
Last updated
02/02/2021
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