Individual
DARLA J PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
RR 3, VANCEBURG, KY 41179-9701
(606) 796-3029
(606) 796-6221
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500426300
—
KY
Enumeration date
02/08/2006
Last updated
08/21/2007
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