Provider Demographics
NPI:1285387548
Name:CHRISTIAN, ALLISON LEA (MPH, PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEA
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MPH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5045 IVYBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1185
Mailing Address - Country:US
Mailing Address - Phone:606-923-8307
Mailing Address - Fax:
Practice Address - Street 1:225 HOSPITAL DR STE 325
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-7665
Practice Address - Country:US
Practice Address - Phone:854-085-9737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTC174363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant