Individual
DR. TANDY SUTTON REPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3475 RICHMOND RD STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400
Mailing address
3475 RICHMOND RD STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
45932
KY
207N00000X
Dermatology Physician
ME107728
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003894900
—
FL
Enumeration date
05/04/2009
Last updated
09/20/2022
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