REID VAN BUSSUM

LEXINGTON, KY
NPI1588270110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA3429)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-09-18
Last Update Date2024-10-11
Business Address
REID VAN BUSSUM
913 FIDDLER CREEK WAY
LEXINGTON, KY 40515-6460
Phone number: 859-321-2487
Mailing Address
REID VAN BUSSUM
913 FIDDLER CREEK WAY
LEXINGTON, KY 40515-6460
Phone number: 859-321-2487
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