MEDICARE: MS. KAYLYN DIGMAN

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	101YM0800X	Mental Health Counselor	246508	KY

General Provider Information

NPI Number	:	1225671787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAYLYN DIGMAN

Provider Business Mailing Address
First Line	:	300 HOPE ST
Second Line	:
City	:	MT WASHINGTON
State	:	KY
Zip	:	40047-7757
Country	:	US
Telephone Number	:	502-538-1000
Fax Number	:	502-538-1100

Provider Business Practice Location Address
First Line	:	2465 NICHOLASVILLE RD STE C
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3111
Country	:	US
Telephone Number	:	859-455-8185
Fax Number	:	859-455-8234

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

Provider Enumeration Date	:	10/28/2019
Last Update Date	:	02/28/2020

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