Organization
ONE WAY GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NADINE FRAZIER M.D (BUSINESS OWNER)
(859) 209-2018
Entity
Organization
Contact information
Practice address
126 DANIEL DR, SUITE B, DANVILLE, KY 40422-2547
(859) 209-2018
(859) 209-4414
Mailing address
126 DANIEL DR, SUITE B, DANVILLE, KY 40422-2547
(859) 209-2018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64078744
—
KY
Enumeration date
10/26/2016
Last updated
07/21/2022
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