HALEY RENEE SHANKS

LEXINGTON, KY
NPI1699466532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA3327)
Additional Taxonomies363A00000X Physician Assistant
(Licence: KY  TC011)
363AM0700X Physician Assistant, Medical
(Licence: KY  TC011)
363AM0700X Physician Assistant, Medical
(Licence: KY  PA3327)
363AS0400X Physician Assistant, Surgical
(Licence: KY  TC011)
363AS0400X Physician Assistant, Surgical
(Licence: KY  PA3327)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-19
Last Update Date2024-01-10
Business Address
HALEY RENEE SHANKS PA
800 ROSE ST FL 2
LEXINGTON, KY 40536-0001
Phone number: 859-562-1085
Mailing Address
HALEY RENEE SHANKS PA
900 SOUTH LIMESTONE
LEXINGTON, KY 40536-0001
Phone number: