Individual
MARIA DISCEPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 287-3045
(859) 578-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004651A
IN
363A00000X
Physician Assistant
Primary
TC104
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2024
Last updated
07/23/2025
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