Individual
BROOKE ALEXANDRIA STICKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1760 NICHOLASVILLE RD STE 101, LEXINGTON, KY 40503-1410
(859) 899-7950
(859) 260-5150
Mailing address
1760 NICHOLASVILLE RD STE 101, LEXINGTON, KY 40503-1410
(859) 899-7950
(859) 260-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100770220
—
KY
Enumeration date
06/15/2021
Last updated
12/18/2023
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