Basic Information
Provider Information
NPI: 1649555699
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERRIER
FirstName: ALMA
MiddleName: FALLON
NamePrefix: DR.
NameSuffix:  
Credential: PA-C, PH.D., M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1101 VETERANS DR
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405022235
CountryCode: US
TelephoneNumber: 8592334511
FaxNumber: 8592814963
Practice Location
Address1: 1101 VETERANS DR
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405022235
CountryCode: US
TelephoneNumber: 8592334511
FaxNumber: 8592814963
Other Information
ProviderEnumerationDate: 10/20/2011
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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