Individual
ALEAH BETH WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-5311
Mailing address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-5311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3599
KY
363A00000X
Physician Assistant
Primary
TC017
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2024
Last updated
02/03/2026
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