Individual
REID VAN BUSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3429
KY
363A00000X
Physician Assistant
—
KY
Other
Enumeration date
09/18/2020
Last updated
07/29/2025
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