CHANTY LYNN HEADSPETH

ELIZABETHTOWN, KY
NPI1447250584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA541)
Enumeration Date2005-07-29
Last Update Date2009-02-09
Business Address
Mrs. CHANTY LYNN HEADSPETH PA C
906 WOODLAND DR STE 102
ELIZABETHTOWN, KY 42701-2752
Phone number: 270-765-5127
Mailing Address
Mrs. CHANTY LYNN HEADSPETH PA C
906 WOODLAND DR STE 102
ELIZABETHTOWN, KY 42701-2752
Phone number: 270-765-5127
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