OrganizationActive
Fivco Add Cdo As Fiscal Agent
NPI 1275745176 · Supports Brokerage Agency · Ashland, KY
Provider details
- NPI number
- 1275745176
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Authorized official
- Sherry Mcdavid, Executive Director
Practice location
1212 Bath Ave.
Suite 650
Ashland, KY 41101
Phone: (606) 929-1366
Fax: (606) 327-0023
Mailing address
1212 Bath Ave.
Ashland, KY 41101
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.