| Aviva Primary Care LLC | |
|
1619 Foxhaven Drive Suite 100 Richmond KY 40475 | |
| (859) 940-2051 | |
| Not Available |
| Full Name | Aviva Primary Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1619 Foxhaven Drive, Richmond, Kentucky |
| Authorized Official Name and Position | Ashley Richard Fenn (MANAGER) |
| Authorized Official Contact | 6063690507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviva Primary Care LLC 1619 Foxhaven Drive Suite 100 Richmond KY 40475 Ph: (606) 369-0507 | Aviva Primary Care LLC 1619 Foxhaven Drive Suite 100 Richmond KY 40475 Ph: (859) 940-2051 |
| NPI Number | 1326977026 |
|---|---|
| Provider Enumeration Date | 05/18/2026 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326977026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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