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NPI Code Detail

MEDICARE: CHARLSEY MCALISTER NAVE

MEDICARE: CHARLSEY MCALISTER NAVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician AssistantTC147KY

General Provider Information

NPI Number : 1043893977
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLSEY MCALISTER NAVE
Provider Business Mailing Address
First Line : 828 LANE ALLEN RD STE 219
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 828 LANE ALLEN RD STE 219
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3659
Country : US
Telephone Number : 859-323-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2021
Last Update Date : 12/09/2021

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Directions to “ CHARLSEY MCALISTER NAVE ” Practice Location

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