Provider Demographics
NPI:1568745024
Name:A & A CLINICS PLLC
Entity Type:Organization
Organization Name:A & A CLINICS PLLC
Other - Org Name:CASA SAN PIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELECIO
Authorized Official - Middle Name:G
Authorized Official - Last Name:ABORDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:606-693-0199
Mailing Address - Street 1:700 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:KY
Mailing Address - Zip Code:40380-2317
Mailing Address - Country:US
Mailing Address - Phone:606-693-0199
Mailing Address - Fax:606-666-9480
Practice Address - Street 1:700 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-2317
Practice Address - Country:US
Practice Address - Phone:606-693-0199
Practice Address - Fax:606-666-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34645207R00000X
363A00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty