Individual
BILLY KEVIN FRALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CLINIC DR, HOPKINSVILLE, KY 42240-4991
(270) 707-3300
Mailing address
500 CLINIC DR, HOPKINSVILLE, KY 42240-4991
(270) 707-4262
(270) 707-4280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100216660
—
KY
Enumeration date
05/24/2011
Last updated
12/04/2020
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