Bethany Lee, PA-C

NPI #1861883290 in Stanford, Kentucky

Provider Information

NPI Number: 1861883290
Entity Type: Individual
Name: Bethany Lee, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 6, 2015
Last Updated: Feb 6, 2015

Practice Location

Address: 100 JAY ST
City: Stanford
State: Kentucky
ZIP Code: 40484-7511
Phone: (606) 365-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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