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Contact Information

SUZANN FENTON
4192 WILDERNESS RD
MOUNT VERNON, KY40456
 Phone: 606-256-3923
 Fax: 606-256-5622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUZANN FENTON · (Female)

NPI Number 1952516197
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • KY Medicaid 33001033
Hospital affiliation(s) Not Available
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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