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Contact Information

OPAL PREVATT
37 BALL PARK RD
HARLAN, KY40831
 Phone: 606-573-4520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for OPAL PREVATT · (Female)

NPI Number 1609255181
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2015
Last updated 07/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 00000
Hospital affiliation(s)
  • HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL - (Acute Care)
    81 BALL PARK ROAD
    HARLAN, KY 40831
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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