Provider Demographics
NPI:1366642605
Name:SNEAD, PAMELA KAY (KY CERT 1ST ASSIST)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:KAY
Last Name:SNEAD
Suffix:
Gender:F
Credentials:KY CERT 1ST ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7684 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-9544
Mailing Address - Country:US
Mailing Address - Phone:270-885-7562
Mailing Address - Fax:
Practice Address - Street 1:7684 PRINCETON RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-9544
Practice Address - Country:US
Practice Address - Phone:270-885-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSA033246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist