Individual
COREY DEAN FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
105 STATE HIGHWAY 1947 # A, GRAYSON, KY 41143-6825
(606) 475-0152
(606) 474-4240
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008374
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.020466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174020
—
OH
05
—
7100425660
—
KY
Enumeration date
11/05/2013
Last updated
09/18/2018
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