MARY ALICE DISSELKAMP

ELIZABETHTOWN, KY
NPI1043876170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-05-14
Last Update Date2023-11-08
Business Address
MARY ALICE DISSELKAMP PA-C
2407 RING RD STE 108
ELIZABETHTOWN, KY 42701-5938
Phone number: 270-706-5787
Mailing Address
MARY ALICE DISSELKAMP PA-C
2407 RING RD STE 108
ELIZABETHTOWN, KY 42701-5938
Phone number: 270-706-5787
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