| NPI | 1821526559 |
|---|---|
| Former Name | PAIGE JEAN BAECHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2224) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA2224) |
| 363AS0400X Physician Assistant, Surgical (Licence: KY PA2224) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-04-01 |