Provider Demographics
NPI:1265759203
Name:GARRETT, PATRICIA K (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:K
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 MONARCH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1877
Mailing Address - Country:US
Mailing Address - Phone:859-286-9951
Mailing Address - Fax:859-286-9952
Practice Address - Street 1:1050 MONARCH ST STE 300
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1877
Practice Address - Country:US
Practice Address - Phone:859-286-9951
Practice Address - Fax:859-286-9952
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1556363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant