Individual
SUSAN T. SEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C., CSA
Contact information
Practice address
3350 PEPPERHILL RD, LEXINGTON, KY 40502
(859) 533-6891
(859) 268-0989
Mailing address
3350 PEPPERHILL RD, LEXINGTON, KY 40502-3840
(859) 533-6891
(859) 269-0989
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
3126
KY
363AS0400X
Surgical Physician Assistant
Primary
PA539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95001731
—
KY
01
—
970021459
RR MEDICARE PIN
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
09/13/2006
Last updated
12/02/2020
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