MILES DURHAM PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1841744018- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 105 KEETON DR, HOPKINSVILLE, KY, 422408756
- Phone
- (270) 889-0701
Specialties & Taxonomies
Physician Assistant
Primary License: KY #KYPA495
All Addresses
MAILING
105 KEETON DR
HOPKINSVILLE, KY, 422408756