Frontier Foundation Inc. | |
713 Broadway Street Ste 203 Prestonsburg KY 41653 | |
(606) 372-1234 | |
(606) 372-1240 |
Full Name | Frontier Foundation Inc. |
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Speciality | Behavior Analyst |
Location | 713 Broadway Street, Prestonsburg, Kentucky |
Authorized Official Name and Position | Antoin Hana (OWNER) |
Authorized Official Contact | 6063721234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Frontier Foundation Inc. Po Box 280 Prestonsburg KY 41653-0280 Ph: (606) 372-1234 | Frontier Foundation Inc. 713 Broadway Street Ste 203 Prestonsburg KY 41653 Ph: (606) 372-1234 |
NPI Number | 1669259909 |
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Provider Enumeration Date | 09/11/2023 |
Last Update Date | 09/11/2023 |
Certification Date | 09/07/2023 |
Medicare PECOS PAC ID | 7911348057 |
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Medicare Enrollment ID | O20240507003639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669259909 | NPI | - | NPPES |
Provider Name | Kimberlee Hensley |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932871761 PECOS PAC ID: 4385032713 Enrollment ID: I20211103002560 |
Provider Name | Leigh Ann Marquez |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1942982863 PECOS PAC ID: 3678936564 Enrollment ID: I20230824003249 |
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