Dr. Millard Lynn Fogleman, MD
Family Medicine in Beverly, KY. Individual provider (NPI-1).
NPI number1790771046
StatusActive
Last updated in NPPESFeb 28, 2011
Details
- NPI
- 1790771046
- Entity type
- Individual (NPI-1)
- Name
- Dr. Millard Lynn Fogleman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2005
- Last updated
- Feb 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33564 | KY | Yes |
Practice location
53 Queendale CtrRed Bird Clinic
Beverly, KY 40913-9607
Phone 606-598-5135 · Fax 606-598-8942
Mailing address
53 Queendale CtrRed Bird Clinic
Beverly, KY 40913-9607
Phone 606-598-5135 · Fax 606-598-8942
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