Individual
MELANIE SARINTHONE PHOUNSAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 257-6033
Mailing address
800 ROSE ST FL 4, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC017
KY
363AM0700X
Medical Physician Assistant
TC017
KY
363AS0400X
Surgical Physician Assistant
TC017
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
03/23/2026
Last updated
06/12/2026
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