| Doctor Name: | MR. EDWARD ALLEN SIZEMORE |
| NPI Number: | 1467788216 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP, NP-C |
| License Number: | 3006181 |
| Business Practice Address: | 131 Ky Hwy 15n Campton, KY - 41301 |
| Business Phone Number: | 6066682090 |
| Business Fax Number: | 6066682092 |
| Mailing Address: | Po Box 73652, CLEVELAND |
| State: | OH |
| Postal Code: | 441930002 |
| Phone Number: | 8593132758 |
| Fax Number: | 8592765939 |
| NPI Enumeration Date: | 10/29/2009 |
| NPI Last Update Date: | 07/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3006181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |