Individual
BETHANY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 JAY ST, STANFORD, KY 40484-7511
(606) 365-1547
Mailing address
4164 SPERLING DR, LEXINGTON, KY 40509-2164
(606) 336-0459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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