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Individual
DR. MELISSA VOSCHE' RUTLAND AVERY
Active
Individual
DR. MELISSA VOSCHE' RUTLAND AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MMM CPEFAAFPFAAPL
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35143
KY
207Q00000X
Family Medicine Physician
12682
NV
207Q00000X
Family Medicine Physician
19882
SC
207Q00000X
Family Medicine Physician
32240
TN
207Q00000X
Family Medicine Physician
35143
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000705140
ANTHEM-NICC
KY
05
—
7100123760
—
KY
Enumeration date
02/04/2008
Last updated
12/26/2019
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