Individual
PATRICK GERARD VILLAFUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
613 23RD ST STE 310, ASHLAND, KY 41101-2877
(606) 833-2161
(606) 833-2162
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
46913
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108383
—
OH
05
—
7100315300
—
KY
01
—
P01386216
RR MEDICARE
KY
Enumeration date
12/09/2011
Last updated
06/15/2021
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