Individual
DR. FAIRLENA KAYE FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
100 VETERANS DR, HAZARD, KY 41701-9483
(606) 439-3399
(606) 487-9280
Mailing address
100 VETERANS DR, HAZARD, KY 41701-9483
(606) 439-3399
(606) 487-9280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4580
KY
111N00000X
Chiropractor
CH8163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175042
ANTHEM BC/BS PIN NUMBER
KY
05
—
85000412
—
KY
Enumeration date
03/09/2006
Last updated
06/05/2024
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