Most Relevant Information
Provider Data
| NPI Number: | 1003468968 |
| Provider Name: | CLAIRE SCHACK PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2019 |
| Last Updated: | 07/11/2019 |
Provider Practice Location
460 WILSON AVE
VERSAILLES
KY
403831947
Practice Location Phone/Fax
| Phone: | 8598790111 |
| Fax: |
Provider Mailing Location
460 WILSON AVE
VERSAILLES
KY
403831947
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |