Individual
SARA MUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-5519
(859) 323-5901
(859) 323-3040
Mailing address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5901
(859) 323-3040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3310
KY
363A00000X
Physician Assistant
TC014
KY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA3310
KY
363AM0700X
Medical Physician Assistant
TC014
KY
363AS0400X
Surgical Physician Assistant
PA3310
KY
363AS0400X
Surgical Physician Assistant
TC014
KY
Other
Enumeration date
07/01/2022
Last updated
01/10/2024
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