Individual
HEIDI FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 218-5999
Mailing address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 218-5999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48218
KY
208000000X
Pediatrics Physician
48218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100258280
—
KY
Enumeration date
05/16/2011
Last updated
06/24/2020
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