Price, Raven R.

Price, Raven R. is an individual health care provider with primary practice located at 1201 Pleasant Valley Rd , Owensboro KY 42303-9811. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Price, Raven R. can be contacted via phone (270) 417-3772.

Contact Information

Primary practice address
1201 Pleasant Valley Rd Owensboro KY 42303-9811
Phone: (270) 417-3772
Fax: (270) 417-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 52887 Kentucky

Profile Details

NPI number 1356874200
LBN Legal business name Price, Raven R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2017
Last updated Jun 7th, 2023 - about 3 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 1356874200 NPPES
Kentucky MEDICAID 7100606520

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