Individual
CARLA D. FRAZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2605 KENTUCKY AVE, SUITE 402, PADUCAH, KY 42003-3800
(270) 366-7650
(270) 443-7080
Mailing address
2605 KENTUCKY AVE, SUITE 402, PADUCAH, KY 42003-3800
(270) 366-7650
(270) 443-7080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710006710
—
KY
Enumeration date
06/22/2007
Last updated
12/22/2014
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