Individual
BENJAMIN LOWELL HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1401 HARRODSBURG RD STE B275, LEXINGTON, KY 40504-1775
(859) 278-2334
(859) 278-0159
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100766590
—
KY
Enumeration date
08/19/2021
Last updated
07/27/2022
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