Theresia Renner, PA-C
NPI #1740387372 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1740387372
- Entity Type
- Individual
- Name
- Theresia Renner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Sep 17, 2006
- Last Updated
- Apr 19, 2011
Practice Location
- Address
- 200 CLINIC DR
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1661
- Phone
- (270) 825-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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