Mr. Darrel Sides, CSA
Mr. Darrel Sides, CSA is a Surgical Physician Assistant in Independence, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.
- Licensed in
- KY
- In the registry since
- 2007
Practice location Address checks out
6271 Martys TrlIndependence, KY 41051-0583
Phone: (859) 816-6684
Fax: (859) 356-0682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence SA109 (KY) |
|---|
Record details
| NPI number | 1114079878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSA |
| Sole proprietor | No |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 583, Independence, KY 41051-0583 |