Organization
FRESH START HEALTH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERREL BOYER DO (OWNER)
(606) 225-8200
Entity
Organization
Contact information
Practice address
336 29TH ST STE 203, ASHLAND, KY 41101-1932
(606) 225-8200
(888) 606-7354
Mailing address
336 29TH ST STE 203, ASHLAND, KY 41101-1932
(606) 225-8200
(888) 606-7354
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
05/02/2018
Last updated
01/31/2022
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