Individual
ELIZABETH T CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE J107, LEXINGTON, KY 40536-2701
(859) 323-5603
(859) 323-3704
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6360
(859) 276-2392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA930
KY
363AM0700X
Medical Physician Assistant
PA930
KY
363AS0400X
Surgical Physician Assistant
PA930
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100153680
—
KY
Enumeration date
02/19/2008
Last updated
06/10/2025
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