Organization
COMMONWEALTH OF KENTUCKY
Active
Other names
ESH Physician Assistant Group
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE RUDZIK (CFO)
(859) 246-8204
Entity
Organization
Contact information
Practice address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
(859) 246-8043
Mailing address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
(859) 246-8043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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