Individual
PHILLIP KEVIN SURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
230 FOUNTAIN CT, SUITE 325, LEXINGTON, KY 40509-1895
(859) 263-0595
(859) 263-0385
Mailing address
230 FOUNTAIN CT, SUITE 325, LEXINGTON, KY 40509-1895
(859) 263-0595
(859) 263-0385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01216
KY
Other
Enumeration date
02/05/2007
Last updated
01/11/2008
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