Individual
RANDY KATHRYN SANZERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 CHESTNUT DR, WALTON, KY 41094-7845
(859) 250-0507
Mailing address
6296 FINCHLEY RD, INDEPENDENCE, KY 41051-8592
(859) 250-0507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA760
KY
Other
Enumeration date
12/18/2006
Last updated
10/14/2015
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