Individual
MAKAILYN GRACE SCHOONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1023 NEW MOODY LN STE 102, LA GRANGE, KY 40031-9183
(502) 222-0598
Mailing address
1704 GRAND VILLA DR, LA GRANGE, KY 40031-8956
(502) 758-6119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TC031
KY
363AS0400X
Surgical Physician Assistant
TC031
KY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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