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Individual

MEGHAN KATHLEEN WARFUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 268-2560
Mailing address
8 IVES DR, HUNTINGTON, WV 25705-2611
(956) 466-4124

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3176
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012375
OH
05
1801286893
WV
05
7100876880
KY
Enumeration date
01/28/2015
Last updated
10/16/2023
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