NPI 1053789024

Matthew Giese, PAC

Practitioner Surgical Physician Assistant Edgewood, KY

Practice location

Address: 560 S Loop Rd, Edgewood, KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA2028 (KY)

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Registry record

NPI: 1053789024
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2015
Record last updated: 3 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.