Individual
DR. EVAN FRANKLIN CONDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 STATE HIGHWAY 1947, GRAYSON, KY 41143-6825
(606) 475-0152
(606) 474-0040
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03295
KY
207Q00000X
Family Medicine Physician
2187
WV
207Q00000X
Family Medicine Physician
34.010170
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077709
—
OH
05
—
3810018911
—
WV
05
—
7100127960
—
KY
Enumeration date
08/14/2007
Last updated
02/10/2022
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