Individual
JESSE CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
(502) 454-7788
(502) 451-9291
Mailing address
425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
(502) 454-7788
(502) 451-9291
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA130
KY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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