MRS. TISA REVELS, SA-C, KCSA

Specialist/Technologist, Other - Surgical Assistant

Active Individual
NPI: 1750424859

Practice Address

4001 KRESGE WAY
SUITE 200
Louisville, KY 40207

Phone: (502) 895-1995

Specialties

Specialty Code Primary License
Specialist 174400000X No SA029 (KY)
Specialist/Technologist, Other - Surgical Assistant 246ZC0007X Yes SA029 (KY)

Frequently Asked Questions

NPI 1750424859 is the National Provider Identifier for MRS. TISA REVELS, SA-C, KCSA, a Specialist/Technologist, Other - Surgical Assistant provider located in Louisville, KY. This NPI was enumerated on February 15, 2007.
MRS. TISA REVELS, SA-C, KCSA practices at 4001 KRESGE WAY, SUITE 200, Louisville, KY 40207.

Quick Facts

NPI
1750424859
Type
Individual
Enumerated
Feb 15, 2007
Last Updated
Mar 3, 2016

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