MEDICARE: MS. DENA KAY PARTIN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	R2403	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023041647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENA KAY PARTIN OT

Provider Business Mailing Address
First Line	:	PO BOX 911148
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40591-1148
Country	:	US
Telephone Number	:	859-278-2121
Fax Number	:	859-276-2795

Provider Business Practice Location Address
First Line	:	202 WEST 7TH STREET
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40741-1763
Country	:	US
Telephone Number	:	606-864-7316
Fax Number	:	606-878-0590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	05/19/2008

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