person
Mr. Darrel Sides, CSA
Surgical Physician Assistant in Independence, Kentucky
NPI 1114079878

Darrel Sides is a Surgical Physician Assistant based in Independence, KY and is specialized in Surgical. Darrel Sides practices in Independence, KY and has the professional credentials of CSA. The NPI Number for Darrel Sides is 1114079878 and holds a License No. SA109 (Kentucky).

The current practice location address for Darrel Sides is 6271 Martys Trail, Independence, KY and can be reached out via phone at 859-816-6684 and via fax at 859-356-0682.

Location: 6271 Martys Trail, Independence, KY, 41051-0583
person
Provider Profile Details
NPI Number
1114079878
Provider Name
Darrel Sides
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
6271 Martys Trail, Independence, KY, 41051-0583
Phone Number
859-816-6684
Fax Number
859-356-0682
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000308821 01 KY BC
institution
Provider Business Practice Location Address Details
Address
6271 Martys Trail
City
State
Zip
41051-0583
Phone Number
859-816-6684
Fax Number
859-356-0682
person
Provider Business Mailing Address Details
Address
6271 Martys Trail
City
State
Zip
41051-0583
Phone Number
859-816-6684
Fax Number
859-356-0682
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
SA109 (Kentucky)
Definition
Definition to come...
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