MRS. Suzanne Michelle Fernbach, PA-C

NPI #1366539652 in Crittenden, Kentucky

Provider Information

NPI Number: 1366539652
Entity Type: Individual
Name: MRS. Suzanne Michelle Fernbach, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 6, 2006
Last Updated: Aug 26, 2022

Practice Location

Address: 405 VIOLET RD
City: Crittenden
State: Kentucky
ZIP Code: 41030-8956
Phone: (859) 903-0268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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