MRS. Chanty Lynn Headspeth, PA C

NPI #1447250584 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1447250584
Entity Type: Individual
Name: MRS. Chanty Lynn Headspeth, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Jul 29, 2005
Last Updated: Feb 9, 2009

Practice Location

Address: 906 WOODLAND DR
Address 2: STE 102
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-2752
Phone: (270) 765-5127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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