MR. DONALD RAY AVERY JR.


Address: 801 Barret Ave Ste 314, Louisville, KY 40204-1734
Phone: 5025852924

MR. DONALD RAY AVERY JR. (NPI# 1669974119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669974119
Entity Type Individual
Full Name MR. DONALD RAY AVERY JR.
Credential NURSE PRACTITIONER
Practice Address 801 Barret Ave Ste 314
Louisville
KY 40204-1734
Mailing Address 611 Park Ave, Louisville
Louisville
KY 40208
Practice Telephone 5025852924
Mailing Telephone 5023388884
Enumeration Date 2018-03-01
Last Update Date 2018-04-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
3012133 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 801 BARRET AVE STE 314
City LOUISVILLE
State KY
Zip Code 40204-1734

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City LOUISVILLE
Zip Code 40204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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