Individual
BILLIE JO V FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
KY
363AM0700X
Medical Physician Assistant
Primary
PA1171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001081065
ANTHEM PIN
—
01
—
0827753
CIGNA
—
01
—
1530621
WELLCARE OF KY PROVIDER ID
KY
05
—
300009700
—
IN
05
—
7100071530
—
KY
01
—
80515KYIP
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
01
—
9850334
AETNA PIN
—
01
—
CS1728400147
CARESOURCE ID
—
Enumeration date
01/19/2007
Last updated
06/09/2022
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