Provider Demographics
NPI:1336413095
Name:STRATTON, SAMANTHA R (PA-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:R
Last Name:STRATTON
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2424 HARRODSBURG RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2106
Mailing Address - Country:US
Mailing Address - Phone:859-278-9492
Mailing Address - Fax:859-277-3027
Practice Address - Street 1:2424 HARRODSBURG RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2106
Practice Address - Country:US
Practice Address - Phone:859-278-9492
Practice Address - Fax:859-277-3027
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2020-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYTC088363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant