Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERNARD THEODORE BOTILLER, PA-C
ActiveBERNARD THEODORE BOTILLER, PA-C is a Physician Assistant healthcare provider located in LEXINGTON, Kentucky. NPI 1588674865 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LEXINGTON, KY
Registration Details
- NPI Number
- 1588674865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.996772931854 yrs)
- Last Updated
- May 24, 2016
- Licenses
-
PA674 (KY)PA674 (KY)
Practice Information
- Address
-
1451 HARRODSBURG ROADSUITE D 304LEXINGTON, KY, 40504Browse KY providers · Browse ZIP 40504
- Phone
- 8599774000
- Fax
- 8599775100
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| MS. KIM N. FRANKLIN | P.A. - C | 1881698744 |
| JULIE L. TUDOR | P.A.-C. | 1760487672 |
| DEBRA LYNN RYAN | P.A.-C. | 1811992720 |
| MS. MAXINE BOBYS | P.A. | 1780689273 |
| MRS. GRETCHEN B. CLIBURN | PA-C | 1043215536 |
| CHRISTOPHER HOWELL | PAC | 1831195809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.