Organization
AVIVA PRIMARY CARE LLC
Active
Parent organization
ETHAN HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETHAN HEALTH LLC
Authorized official
MR. ASHLEY RICHARD FENN (MANAGER)
(606) 369-0507
Entity
Organization
Contact information
Practice address
1619 FOXHAVEN DRIVE, SUITE 100, RICHMOND, KY 40475
(859) 940-2051
Mailing address
1619 FOXHAVEN DRIVE, SUITE 100, RICHMOND, KY 40475
(606) 369-0507
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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