Individual
DR. JEFFERY PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 E MAIN ST, HAZARD, KY 41701-1939
(606) 439-1316
(606) 439-3922
Mailing address
PO BOX 719, HAZARD, KY 41702-0719
(606) 439-1316
(606) 439-3922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64265168
—
KY
Enumeration date
11/17/2005
Last updated
10/14/2014
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