NPI 1164973798

Randall Mills, PAC

Practitioner Physician Assistant London, KY

Practice location

Address: 1210 W 5th St, London, KY 40741-2112
Phone: (606) 864-4040
Fax: (606) 878-3151
Mailing address: PO Box 936, London, KY 40743-0936

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence TC546 (KY)

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Registry record

NPI: 1164973798
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2016
Record last updated: 3 May 2019

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.