Individual
SANDRA DENISE REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1434
(859) 257-1000
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011570
KY
Other
Enumeration date
10/01/2017
Last updated
11/05/2018
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