Coty Fraley, | |
911 Bypass Rd Bldg A, Pikeville, KY 41501-1602 | |
(606) 430-3500 | |
Not Available |
Full Name | Coty Fraley |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 911 Bypass Rd Bldg A, Pikeville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710687181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 0001245999 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4035071 (Kentucky) | Primary |
Entity Name | Pikeville Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281 |
Mailing Address | Practice Location Address |
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Coty Fraley, Po Box 432, Pikeville, KY 41502-0432 Ph: (606) 430-9750 | Coty Fraley, 911 Bypass Rd Bldg A, Pikeville, KY 41501-1602 Ph: (606) 430-3500 |
Trulena Benner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-1033 | |
Angela Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd, Pikeville, KY 41501 Phone: 606-218-3500 | |
Sandra Perry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd, Pikeville, KY 41501 Phone: 606-218-3500 | |
Mr. Jamie Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-1033 | |
Jamie Aker, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-1033 | |
Kent Clifford Ficklin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-1033 | |
Hannah N Province, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd, Pikeville, KY 41501 Phone: 606-218-3500 |