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NPI Code Detail

MEDICARE: WENDY GAFFIN

MEDICARE: WENDY GAFFIN
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
1237700000XHearing Instrument Specialist252058KY

General Provider Information

NPI Number : 1770110983
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY GAFFIN
Provider Business Mailing Address
First Line : 101 STATE AVE STE E
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1448
Country : US
Telephone Number : 270-651-7900
Fax Number :
Provider Business Practice Location Address
First Line : 101 STATE AVE STE E
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1448
Country : US
Telephone Number : 270-651-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 03/26/2020

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Directions to “ WENDY GAFFIN ” Practice Location

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