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Contact Information

LESHA L ELLISON, PA-C
2004 CUMBERLAND AVE STE 100
MIDDLESBORO, KY40965
 Phone: 606-248-3015
 Fax: 606-248-3024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LESHA L ELLISON · (Female)

NPI # 1447797444
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/27/2017
Last updated 06/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # TC781
Hospital affiliation(s) Not Available
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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