Individual
MR. PHILLIP ANDREW WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3094 HARRODSBURG RD STE 201, LEXINGTON, KY 40503-2897
(859) 605-8060
(859) 605-8061
Mailing address
295 RUNNYMEADE DR, WINCHESTER, KY 40391-8771
(270) 227-0828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1679
KY
363AM0700X
Medical Physician Assistant
Primary
TC030
KY
Other
Enumeration date
07/27/2011
Last updated
06/07/2024
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