Provider Demographics
NPI:1164740692
Name:ARMENTROUT, BRIAN SCOTT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:SCOTT
Last Name:ARMENTROUT
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:UK DIVISION OF NEPHROLOGY
Mailing Address - Street 2:800 ROSE STREET, MN564
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0298
Mailing Address - Country:US
Mailing Address - Phone:859-323-2663
Mailing Address - Fax:859-257-1078
Practice Address - Street 1:UK DIVISION OF NEPHROLOGY
Practice Address - Street 2:800 ROSE STREET, MN564
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0298
Practice Address - Country:US
Practice Address - Phone:859-323-2663
Practice Address - Fax:859-257-1078
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2017-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYPA1958363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant