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NPI Code Detail

MEDICARE: CANDICE OBERRAMER

MEDICARE: CANDICE OBERRAMER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306793153
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE OBERRAMER
Provider Business Mailing Address
First Line : 380 SUWANNEE TRAIL ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42103-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 608 HAPPY VALLEY RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1561
Country : US
Telephone Number : 270-901-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ CANDICE OBERRAMER ” Practice Location

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