SearchKentuckySurgical Physician Assistant

Darrel Sides, CSA

NPI 1114079878 · on the registry since 2007

Practice

Address
6271 Martys Trail
Independence, KY 41051
Phone
(859) 816-6684
Fax
(859) 356-0682

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky