Individual
JESSIE FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S LIMESTONE ROOM 205, LEXINGTON, KY 40536-0001
(859) 323-1100
Mailing address
106 DONERAIL DR, GEORGETOWN, KY 40324-8634
(606) 776-4472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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