Individual
MISS SUSAN MICHELE PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2628
(606) 451-2630
Mailing address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2628
(606) 451-2630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001161
GA
363A00000X
Physician Assistant
Primary
TC032
KY
Other
Enumeration date
09/12/2006
Last updated
09/08/2010
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