Provider Demographics
NPI:1538543533
Name:FOLEY, COURTNEY ELISE (PA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELISE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:107 MERIDIAN WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2878
Mailing Address - Country:US
Mailing Address - Phone:859-624-6366
Mailing Address - Fax:859-624-6367
Practice Address - Street 1:107 MERIDIAN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-624-6366
Practice Address - Fax:859-624-6367
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2020-12-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant