Opal Prevatt

NPI #1609255181 in Harlan, Kentucky

Provider Information

NPI Number: 1609255181
Entity Type: Individual
Name: Opal Prevatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: May 29, 2015
Last Updated: Jul 17, 2018

Practice Location

Address: 37 BALL PARK RD
City: Harlan
State: Kentucky
ZIP Code: 40831
Phone: (606) 573-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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