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NPI Code Detail

MEDICARE: CYNTHIA CATES

MEDICARE: CYNTHIA CATES
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
1163W00000XRegistered Nurse1118899KY

General Provider Information

NPI Number : 1154661775
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA CATES
Provider Business Mailing Address
First Line : 101 W MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1612 DAWKINS RD
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-8729
Country : US
Telephone Number : 502-589-8600
Fax Number : 525-898-7771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 02/19/2013

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Directions to “ CYNTHIA CATES ” Practice Location

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