Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARREL SIDES, CSA
ActiveMR. DARREL SIDES, CSA is a Surgical Physician Assistant healthcare provider located in INDEPENDENCE, Kentucky. NPI 1114079878 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · INDEPENDENCE, KY
Registration Details
- NPI Number
- 1114079878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.552833236309 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SA109 (KY)
Practice Information
- Address
-
6271 MARTYS TRAILINDEPENDENCE, KY, 410510583Browse KY providers · Browse ZIP 41051
- Phone
- 8598166684
- Fax
- 8593560682
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.