Individual
DR. ANGELA K AILES-FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 SCIOTO TRL, SUITE 100, PORTSMOUTH, OH 45662-2845
(740) 353-6390
(740) 353-6290
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-5044
(606) 408-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35071655
OH
207Q00000X
Family Medicine Physician
41511
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056859
—
OH
05
—
7100019280
—
KY
Enumeration date
05/23/2005
Last updated
03/31/2011
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