Doctor Name: | SUZANN FENTON |
NPI Number: | 1952516197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4192 Wilderness Rd Mt. Vernon, KY - 40456 |
Business Phone Number: | 6062563923 |
Business Fax Number: | 6062565622 |
Mailing Address: | Po Box 1390, CORBIN |
State: | KY |
Postal Code: | 407021390 |
Phone Number: | 6065235732 |
Fax Number: | 6065235727 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |