Individual
MARCY R WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-0916
(859) 236-0917
Mailing address
PO BOX 6, DANVILLE, KY 40423-0006
(859) 236-0916
(859) 236-0917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA342
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100057230
—
KY
Enumeration date
04/22/2006
Last updated
03/17/2020
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