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Individual

MS. MAXINE BOBYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1775 ALYSHEBA WAY, STE 201, LEXINGTON, KY 40509-2279
(859) 278-5007
(859) 278-6867
Mailing address
1775 ALYSHEBA WAY, STE 201, LEXINGTON, KY 40509-2279
(859) 278-5007
(859) 278-6867

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA299
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9500393500
KY
Enumeration date
06/20/2005
Last updated
07/08/2007
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