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NPI Code Detail

MEDICARE: KIMBERLY COLE-YOUNG LCSW

MEDICARE: KIMBERLY COLE-YOUNG 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
1104100000XSocial Worker252530KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154497667
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY COLE-YOUNG LCSW
Provider Business Mailing Address
First Line : 835 CENTRAL AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7423
Country : US
Telephone Number : 606-547-4400
Fax Number :
Provider Business Practice Location Address
First Line : 835 CENTRAL AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7423
Country : US
Telephone Number : 606-547-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 04/06/2017

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Directions to “ KIMBERLY COLE-YOUNG LCSW” Practice Location

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