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NPI Code Detail

MEDICARE: CYNTHIA L DANIEL PA-C

MEDICARE:   CYNTHIA L DANIEL  PA-C
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
1363A00000XPhysician Assistant1596MA
2363A00000XPhysician Assistant007441NY
3363AM0700XMedical Physician Assistant1803TN
4363A00000XPhysician AssistantTC487KY
5363A00000XPhysician AssistantPA2110KY

Other Identifiers

General Provider Information

NPI Number : 1831143833
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA L DANIEL PA-C
Provider Business Mailing Address
First Line : PO BOX 568
Second Line :
City : CORBIN
State : KY
Zip : 40702-0568
Country : US
Telephone Number : 606-528-7010
Fax Number :
Provider Business Practice Location Address
First Line : 1203 AMERICAN GREETING CARD RD
Second Line :
City : CORBIN
State : KY
Zip : 40701-4811
Country : US
Telephone Number : 606-528-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 12/13/2016

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Practice Location Address:
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1528171170 — MISTY DAWN ADKINS M.ED
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Directions to “ CYNTHIA L DANIEL PA-C” Practice Location

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