Fletcher-Green, Carmela

Fletcher-Green, Carmela is an individual health care provider with primary practice located at 1306 Versailles Rd Ste 120 , Lexington KY 40504-1795. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fletcher-Green, Carmela can be contacted via phone (859) 259-2635.

Contact Information

Primary practice address
1306 Versailles Rd Ste 120 Lexington KY 40504-1795
Phone: (859) 259-2635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA304 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA304 Kentucky

Profile Details

NPI number 1518948769
LBN Legal business name Fletcher-Green, Carmela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 22nd, 2022 - about 2 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 1518948769 NPPES
Kentucky Other 11478958 CAQH
Kentucky MEDICAID 95002937 CAQH
Kentucky Other 970021336 CAQH

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