person
Tonya Coburn, PA-C
Medical Physician Assistant in Versailles, Kentucky
NPI 1639170590

Tonya Coburn is a Medical Physician Assistant based in Versailles, KY and is specialized in Medical. Tonya Coburn practices in Versailles, KY and has the professional credentials of PA-C. The NPI Number for Tonya Coburn is 1639170590 and holds a License No. PA452 (Kentucky).

The current practice location address for Tonya Coburn is 460 Wilson Ave, Versailles, KY and can be reached out via phone at 859-879-0111 and via fax at 859-879-0363.

Location: 460 Wilson Ave, Versailles, KY, 40383-1947
person
Provider Profile Details
NPI Number
1639170590
Provider Name
Tonya Coburn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
460 Wilson Ave, Versailles, KY, 40383-1947
Phone Number
859-879-0111
Fax Number
859-879-0363
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95004529 05 KY
institution
Provider Business Practice Location Address Details
Address
460 Wilson Ave
City
State
Zip
40383-1947
Phone Number
859-879-0111
Fax Number
859-879-0363
person
Provider Business Mailing Address Details
Address
460 Wilson Ave
City
State
Zip
40383-1947
Phone Number
859-879-0111
Fax Number
859-879-0363
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA452 (Kentucky)
Definition
Definition to come...
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