Individual
CHOLOTTIE JANE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ISSA- CPT
Contact information
Practice address
952 WINCHESTER RD STE 5, LEXINGTON, KY 40505-3948
(859) 270-7468
Mailing address
952 WINCHESTER RD STE 5, LEXINGTON, KY 40505-3948
(859) 270-7468
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
991169
AZ
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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