Individual
JUDY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FORESTGATE RD, LEXINGTON, KY 40515-6488
(606) 794-5711
Mailing address
128 FORESTGATE RD, LEXINGTON, KY 40515-6488
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
94264
KY
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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