ALEX MICHAEL TREY PELFREY PA-C NPI 1720733439

NPI Information

NPI: 1720733439
Provider Name: ALEX MICHAEL TREY PELFREY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
75 HAIL KNOB RD
SOMERSET, KY
ZIP 42503
Phone: (606) 678-9617
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Alex Michael Trey Pelfrey, PA-C is a surgical physician assistant in Somerset, KY with 2 years of experience. Alex Michael Trey Pelfrey, PA-C NPI is 1720733439. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 HAIL KNOB RD
SOMERSET, KY
ZIP 42503-434
Phone: (606) 678-9617

The NPI 1720733439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2022 and was last updated on 1/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	1720733439	KENTUCKY	Yes
2	363A00000X	Physician Assistant			KENTUCKY	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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