Individual
GRISHMA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 226-7063
(859) 226-7266
Mailing address
900 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC329
KY
363AM0700X
Medical Physician Assistant
TC329
KY
363AS0400X
Surgical Physician Assistant
TC329
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2022
Last updated
11/16/2022
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