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NPI Code Detail

MEDICARE: SIERRA SKYE MCGRAW

MEDICARE:   SIERRA SKYE MCGRAW
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 : 1235696303
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA SKYE MCGRAW
Provider Business Mailing Address
First Line : 1220 GREENUP AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7525
Country : US
Telephone Number : 606-393-1165
Fax Number : 606-393-1175
Provider Business Practice Location Address
First Line : 1220 GREENUP AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7525
Country : US
Telephone Number : 606-393-1165
Fax Number : 606-393-1165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 02/26/2019

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Directions to “ SIERRA SKYE MCGRAW ” Practice Location

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