Provider Demographics
NPI:1366477010
Name:ARNETT, CHARLES FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:FRANKLIN
Last Name:ARNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 GOBLE ST
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-7967
Mailing Address - Country:US
Mailing Address - Phone:606-886-2788
Mailing Address - Fax:606-886-7989
Practice Address - Street 1:283 GOBLE ST
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-7967
Practice Address - Country:US
Practice Address - Phone:606-886-2788
Practice Address - Fax:606-886-7989
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000485161OtherANTHEM BC BS
KY6315OtherMEDICARE GROUP #
KY20036018Medicaid
KY0631511Medicare PIN
KYC69858Medicare UPIN