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NPI Code Detail

MEDICARE: JAMES M FELLOWS MD

MEDICARE:   JAMES M FELLOWS  MD
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
1208800000XUrology PhysicianKY24878KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497762892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M FELLOWS MD
Provider Business Mailing Address
First Line : PO BOX 1062
Second Line :
City : HENDERSON
State : KY
Zip : 42419-1062
Country : US
Telephone Number : 270-827-2915
Fax Number : 270-827-2995
Provider Business Practice Location Address
First Line : 110 THIRD ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2993
Country : US
Telephone Number : 270-827-2915
Fax Number : 270-643-0082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 02/08/2011

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Directions to “ JAMES M FELLOWS MD” Practice Location

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