Provider Demographics
NPI:1417002205
Name:RELFORD, PATRICIA ANN (SA-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:RELFORD
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 SAN MILANO PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4531
Mailing Address - Country:US
Mailing Address - Phone:859-433-3963
Mailing Address - Fax:859-260-4131
Practice Address - Street 1:2416 SAN MILANO PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4531
Practice Address - Country:US
Practice Address - Phone:859-433-3963
Practice Address - Fax:859-260-4131
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSA060246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist