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NPI Code Detail

MEDICARE: CATHERINE JAYNE TAYLOR

MEDICARE: CATHERINE JAYNE TAYLOR
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 : 1891415212
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JAYNE TAYLOR
Provider Business Mailing Address
First Line : 273 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-8216
Country : US
Telephone Number : 304-788-9230
Fax Number :
Provider Business Practice Location Address
First Line : 273 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-8216
Country : US
Telephone Number : 304-788-9230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 04/24/2023

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Directions to “ CATHERINE JAYNE TAYLOR ” Practice Location

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