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Contact Information

ALLISON D DEZARN, APRN
279 E MAIN ST
HAZARD, KY41701-1973
 Phone: 606-487-9505
 Fax: 606-436-0711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for

NPI # 1083066591
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/08/2016
Last updated 08/16/2024 - More than a year ago
Identifiers
KY License # 3010409
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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