Provider Demographics
NPI:1811566854
Name:BELCHER, ALLISON BROOKE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:BROOKE
Last Name:BELCHER
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 460
Mailing Address - Street 2:
Mailing Address - City:DORTON
Mailing Address - State:KY
Mailing Address - Zip Code:41520-0460
Mailing Address - Country:US
Mailing Address - Phone:606-616-8008
Mailing Address - Fax:
Practice Address - Street 1:255 CHURCH ST STE 100
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3499
Practice Address - Country:US
Practice Address - Phone:606-432-5660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program