Individual
SALLIE ELIZABETH RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-5837
(859) 323-6047
(859) 257-3873
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-6047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2895
KY
363A00000X
Physician Assistant
TC088
KY
363AM0700X
Medical Physician Assistant
PA2895
KY
363AM0700X
Medical Physician Assistant
TC088
KY
363AS0400X
Surgical Physician Assistant
PA2895
KY
363AS0400X
Surgical Physician Assistant
TC088
KY
Other
Enumeration date
10/31/2019
Last updated
01/27/2022
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