person
Mark Fairchild, PAC
Medical Physician Assistant in Vanceburg, Kentucky
NPI 1255304598

Mark Fairchild is a Medical Physician Assistant based in Vanceburg, KY and is specialized in Medical. Mark Fairchild practices in Vanceburg, KY and has the professional credentials of PAC. The NPI Number for Mark Fairchild is 1255304598 and holds a License No. PA434 (Kentucky).

The current practice location address for Mark Fairchild is 211 Ky 59, Vanceburg, KY and can be reached out via phone at 606-796-3029 and via fax at 606-796-6221.

Location: 211 Ky 59, Vanceburg, KY, 41179-0550
person
Provider Profile Details
NPI Number
1255304598
Provider Name
Mark Fairchild
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
211 Ky 59, Vanceburg, KY, 41179-0550
Phone Number
606-796-3029
Fax Number
606-796-6221
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95002721 05 KY
institution
Provider Business Practice Location Address Details
Address
211 Ky 59
City
State
Zip
41179-9701
Phone Number
606-796-3029
Fax Number
606-796-6221
person
Provider Business Mailing Address Details
Address
211 Ky 59
City
State
Zip
41179-9701
Phone Number
606-796-3029
Fax Number
606-796-6221
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA434 (Kentucky)
Definition
Definition to come...
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