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NPI Code Detail

MEDICARE: MS. DONNA C BIRNEY MSW, LCSW

MEDICARE: MS. DONNA C BIRNEY MSW, LCSW
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
11041C0700XClinical Social Worker1417KY

General Provider Information

NPI Number : 1629230131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA C BIRNEY MSW, LCSW
Provider Business Mailing Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-3323
Provider Business Practice Location Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-3323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 08/14/2015

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