Mr. DARREL SIDES -- CSA
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1114079878- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CSA
- Status
- Active
Contact & Location
- Address
- 6271 MARTYS TRAIL, INDEPENDENCE, KY, 410510583
- Phone
- (859) 816-6684
- Fax
- (859) 356-0682
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: KY #SA109