Provider Demographics
NPI:1831195809
Name:HOWELL, CHRISTOPHER (PAC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 OLD CROW CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2909
Mailing Address - Country:US
Mailing Address - Phone:859-509-5594
Mailing Address - Fax:
Practice Address - Street 1:3125 OLD CROW CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2909
Practice Address - Country:US
Practice Address - Phone:859-509-5594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA445363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0007304443OtherAETNA PROVIDER NUMBER
KY000001202079OtherCHA PROVIDER NUMBER
KY000000317659OtherANTHEM PROVIDER NUMBER
KY0007304443OtherAETNA PROVIDER NUMBER