Individual
ELYSE MARGARET MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE, STE L119, LEXINGTON, KY 40536-0001
(859) 257-3253
(859) 323-1203
Mailing address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1206650
OH
363A00000X
Physician Assistant
Primary
PA3688
KY
363AM0700X
Medical Physician Assistant
PA3688
KY
363AS0400X
Surgical Physician Assistant
PA3688
KY
Other
Enumeration date
12/12/2022
Last updated
10/07/2025
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