Provider Demographics
NPI:1639383185
Name:FERRELL & ALLISON PSC
Entity Type:Organization
Organization Name:FERRELL & ALLISON PSC
Other - Org Name:PARIS PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-987-2200
Mailing Address - Street 1:2017 S. MAIN STREET
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361
Mailing Address - Country:US
Mailing Address - Phone:859-987-2200
Mailing Address - Fax:859-987-4476
Practice Address - Street 1:2017 S. MAIN STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361
Practice Address - Country:US
Practice Address - Phone:859-987-2200
Practice Address - Fax:859-987-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12952207Q00000X
KY29141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64291412Medicaid
KY64291412Medicaid
C12760Medicare UPIN