Petrey, Aaron Dewayne

Petrey, Aaron Dewayne is an individual health care provider with primary practice located at 475 N Highway 25 W Ste 100 , Williamsburg KY 40769-1576. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Petrey, Aaron Dewayne can be contacted via phone (606) 549-2930.

Contact Information

Primary practice address
475 N Highway 25 W Ste 100 Williamsburg KY 40769-1576
Phone: (606) 549-2930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2574 Kentucky

Profile Details

NPI number 1710525944
LBN Legal business name Petrey, Aaron Dewayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Jun 25th, 2020 - 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 1710525944 NPPES
Kentucky MEDICAID 7100652600
Kentucky MEDICAID Q056813

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