NPI Profile for LEE E ACKLEY in WICHITA FALLS, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1417933813 |
|
| Status | Active | |
| Credentials | PA-C, MPAS, RT(R) | |
| Entity | Individual | |
| Enumeration date | 12/16/2005 | |
| Last updated | 09/24/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LEE E ACKLEY
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