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Dr. Avery Blake Shrum, DO
Student in an Organized Health Care Education/Training Program in Hazard, Kentucky
NPI 1497333520

Avery Blake Shrum is a Student in an Organized Health Care Education/Training Program based in Hazard, KY. Avery Blake Shrum practices in Hazard, KY and has the professional credentials of DO. The NPI Number for Avery Blake Shrum is 1497333520 and holds a License No. (Kentucky).

The current practice location address for Avery Blake Shrum is 750 Morton Blvd, Hazard, KY and can be reached out via phone at 606-439-1559 and via fax at 606-436-6988.

Location: 750 Morton Blvd, Hazard, KY, 41701-9469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497333520
Provider Name
Avery Blake Shrum
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
750 Morton Blvd, Hazard, KY, 41701-9469
Phone Number
606-439-1559
Fax Number
606-436-6988
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Morton Blvd
City
Hazard
State
Kentucky
Zip
41701-9469
Phone Number
606-439-1559
Fax Number
606-436-6988
person
Provider Business Mailing Address Details
Address
750 Morton Blvd
City
Hazard
State
Kentucky
Zip
41701-9469
Phone Number
606-439-1559
Fax Number
606-436-6988
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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