Individual
MICHA MARYANNA SHORT GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(859) 276-4429
(859) 276-5919
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3117
KY
Other
Enumeration date
02/08/2022
Last updated
08/26/2025
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