Terrell, Tracy Fey

Terrell, Tracy Fey is an individual health care provider with primary practice located at 1107 Crown Pointe Dr Ste 107 , Elizabethtown KY 42701-7280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Terrell, Tracy Fey can be contacted via phone (270) 506-3300.

Contact Information

Primary practice address
1107 Crown Pointe Dr Ste 107 Elizabethtown KY 42701-7280
Phone: (270) 506-3300
Fax: (270) 506-2843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006100 Kentucky

Profile Details

NPI number 1174754485
LBN Legal business name Terrell, Tracy Fey
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Jun 9th, 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 1174754485 NPPES
Other 000001274704 ANTHEM PROVIDER ID NUMBER
MEDICAID 7100078870 ANTHEM PROVIDER ID NUMBER
Other 1865831 ANTHEM PROVIDER ID NUMBER
Other 304651KYIP ANTHEM PROVIDER ID NUMBER
Other 3060245 ANTHEM PROVIDER ID NUMBER
Other P02312324 ANTHEM PROVIDER ID NUMBER
Other CS1918600189 ANTHEM PROVIDER ID NUMBER
Other 10576522 ANTHEM PROVIDER ID NUMBER
MEDICAID 201018200 ANTHEM PROVIDER ID NUMBER
Other 8379074 ANTHEM PROVIDER ID NUMBER

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