Individual
JAMES E RAVENCRAFT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
2222 WINCHESTER AVE, ASHLAND, KY 41101-7847
(606) 325-9644
Mailing address
2222 WINCHESTER AVE, ASHLAND, KY 41101-7847
(606) 325-9644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA336
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003364
—
KY
01
—
970009625
RAILROAD MEDICARE
KY
01
—
P00847796
RAIL ROAD MEDICARE
KY
Enumeration date
07/01/2006
Last updated
05/28/2020
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