Provider Demographics
NPI:1457631483
Name:FELTNER, APRIL MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MICHELLE
Last Name:FELTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:VICCO
Mailing Address - State:KY
Mailing Address - Zip Code:41773-0362
Mailing Address - Country:US
Mailing Address - Phone:606-216-3300
Mailing Address - Fax:
Practice Address - Street 1:145 UPPER BIBLE AVE
Practice Address - Street 2:
Practice Address - City:VICCO
Practice Address - State:KY
Practice Address - Zip Code:41773
Practice Address - Country:US
Practice Address - Phone:606-216-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1457631483Medicaid