Individual
NICHOLAS PAUL SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
789 SOUTH LIMESTONE STREET, LEXINGTON, KY 40536-0001
(270) 692-8969
Mailing address
3200 SAINT ROSE RD, LEBANON, KY 40033-9132
(270) 692-8969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I14910
KY
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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