Individual
ALYSSA DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Mailing address
1351 NEWTON PIKE, LEXINGTON, KY 40511
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
376K00000X
Nurse's Aide
50178469
KY
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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