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Kentucky Academy of Physician Assistants MEMBERSHIP APPLICATION Name (last) (first) (MI) (designation) City County State Zip Home Phone Work Phone Fax E-mail Company Supervising Physician Mailing
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The Kentucky Academy of Physician is an organization that represents physicians in the state of Kentucky.
All licensed physicians in Kentucky are required to file with the Kentucky Academy of Physician.
Physicians can fill out the Kentucky Academy of Physician form online or through mail following the instructions provided.
The purpose of the Kentucky Academy of Physician is to track and regulate physician licensing and practice in Kentucky.
Physicians must report their contact information, medical specialty, license number, and any disciplinary actions on the Kentucky Academy of Physician form.
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