Individual
WORAWUTE SUPAONGPRAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2208
(606) 218-7508
Mailing address
149 MEADOW VIEW DR, MOUNT STERLING, KY 40353-8402
(859) 432-0803
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
1674-320
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37843
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
EMC0001791
MI
207RP1001X
Pulmonary Disease Physician
01095071A
IN
207RP1001X
Pulmonary Disease Physician
04-45553
KS
207RP1001X
Pulmonary Disease Physician
114809
MT
207RP1001X
Pulmonary Disease Physician
2022-00633
NC
207RP1001X
Pulmonary Disease Physician
37843
KY
207RP1001X
Pulmonary Disease Physician
EMC0001791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390255
ANTHEM
KY
01
—
610475281
CHA
KY
05
—
64077480
—
KY
01
—
H91133
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
11/01/2006
Last updated
04/08/2026
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