Avery, Melissa Vosche' Rutland

Avery, Melissa Vosche' Rutland is an individual health care provider with primary practice located at 2301 Greenup Ave Ste 8A , Ashland KY 41101-7869. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Other Service Providers / Specialist is her primary health care specialty. Avery, Melissa Vosche' Rutland can be contacted via phone (859) 303-9436.

Contact Information

Primary practice address
2301 Greenup Ave Ste 8A Ashland KY 41101-7869
Phone: (859) 303-9436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35143 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35143 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19882 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32240 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12682 Nevada

Profile Details

NPI number 1508044363
LBN Legal business name Avery, Melissa Vosche' Rutland
Credentials MD MMM CPEFAAFPFAAPL
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Dec 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508044363 NPPES
Kentucky Other 000000705140 ANTHEM-NICC
Kentucky MEDICAID 7100123760 ANTHEM-NICC

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