| Keisha Fraley, APRN | |
| 
					101 Town And Country Ln Ste 100, Hazard, KY 41701-9524  | |
| (606) 439-1300 | |
| (606) 439-1400 | 
| Full Name | Keisha Fraley | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 101 Town And Country Ln Ste 100, Hazard, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952027138 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018498 (Kentucky) | Primary | 
| Entity Name | Kiosk Medicine Kentucky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127  | 
| Entity Name | Sterling Health Solutions Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366790099 PECOS PAC ID: 9436301686 Enrollment ID: O20121214000279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keisha Fraley, APRN Po Box 1988, Hazard, KY 41702-1988 Ph: (606) 435-7642  | Keisha Fraley, APRN 101 Town And Country Ln Ste 100, Hazard, KY 41701-9524 Ph: (606) 439-1300  | 
Jonathan D Combs, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 N Main St, Hazard, KY 41701 Phone: 606-439-2662  | |
Sydney Roark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-3952  | |
Janie C Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071  | |
Trena Preston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752  | |
Chelsea Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848  | |
Mrs. Robetta Melaine Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777  | |
Christina Ruth Martin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400  |