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NPI 1801097993 · Supports Brokerage Agency · Ashland, KY
Provider details
- NPI number
- 1801097993
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sherry Mcdavid, Executive Director(606) 929-1366
Specialties & taxonomies
Agencies
Practice location
1212 Bath Ave
Suite 650
Ashland, KY 41101-2696
Phone: (606) 929-1366
Fax: (606) 327-0023
Approximate (ZIP-level) locationGet directions
Mailing address
1212 Bath Ave
Ashland, KY 41101-2696
Registry dates
- Enumerated
- 2007-05-29
- 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.