Rebecca L Durbin, PA

Individual provider Active NPI Physician Assistant · Harrodsburg, KY

NPI 1356563811 · NPPES record last updated May 19, 2009

Key facts

NPI
1356563811
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA979 (KY)
Practice address
470 Linden Ave
Harrodsburg, KY 40330-1871
Phone
(859) 734-3482
Fax
(859) 734-3432
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA979 KY Yes

Addresses

Primary practice location

470 Linden Ave
Harrodsburg, KY 40330-1871

Mailing address

470 Linden Ave
Harrodsburg, KY 40330-1871
Phone (859) 734-3482

Other providers in Harrodsburg, KY

All providers in Harrodsburg, KY · Physician Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.