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Contact Information

JACQUELINE M THIRY, PA-C
218 S. MAPLE ST.
WINCHESTER, KY40391
 Phone: 859-745-2861
 Fax: 859-745-1978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACQUELINE M THIRY · (Female)

NPI Number 1144736679
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/20/2017
Last updated 11/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9111189
  • KY License # PA2717
  • KY Medicaid 7100738410
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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