Individual
PAULA S FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-8009
(270) 826-7010
Mailing address
1015 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-8009
(270) 826-7010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000270526
ANTHEM
—
05
—
95001178
—
KY
Enumeration date
05/04/2006
Last updated
07/09/2007
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