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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518948769 | NPPES |
| Kentucky | Other | 11478958 | CAQH |
| Kentucky | MEDICAID | 95002937 | CAQH |
| Kentucky | Other | 970021336 | CAQH |
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