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NPI Code Detail

MEDICARE: KADE TOMLINSON

MEDICARE: KADE TOMLINSON
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 : 1427648252
Entity Type Code : Individual
Provider Name (Legal Business Name) : KADE TOMLINSON
Provider Business Mailing Address
First Line : 1729 5TH ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4416
Country : US
Telephone Number : 214-681-9234
Fax Number :
Provider Business Practice Location Address
First Line : 400 E STATE ST STE D
Second Line :
City : ATHENS
State : OH
Zip : 45701-1856
Country : US
Telephone Number : 740-249-4514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/25/2021

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Directions to “ KADE TOMLINSON ” Practice Location

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