MEDICARE: MR. CARY A KAPLIN MRC, LCAC, CADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	87000342A	IN

General Provider Information

NPI Number	:	1083832398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARY A KAPLIN MRC, LCAC, CADC

Provider Business Mailing Address
First Line	:	1925 RICHMOND DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205
Country	:	US
Telephone Number	:	502-551-3808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 RICHMOND DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-1411
Country	:	US
Telephone Number	:	502-551-3808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	10/22/2010

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