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Individual

ABIGAIL JOLETTE MCDERMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5908
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2293
KY
363AM0700X
Medical Physician Assistant
PA2293
KY
363AS0400X
Surgical Physician Assistant
PA2293
KY

Other

Enumeration date
08/01/2017
Last updated
12/08/2022
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