Individual
SARA SHAHID SALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-4888
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
02526
KY
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
02526
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64014434
—
KY
Enumeration date
06/24/2006
Last updated
09/01/2010
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