NPI 1720289812

Fivco Add Cdo As Fiscal Agent

Organisation Supports Brokerage Agency Ashland, KY

Practice location

Address: 1212 Bath Ave Suite 650, Ashland, KY 41101-2696
Phone: (606) 929-1366
Fax: (606) 327-0023

Authorised official

Name: Sherry McDavid
Title: Executive Director
Phone: (606) 929-1366

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Kentucky →

Registry record

NPI: 1720289812
Entity type: Organization
NPI issued: 29 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.