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NPI Code Detail

MEDICARE: CYNTHIA CAROL GAWARECKI

MEDICARE:   CYNTHIA CAROL GAWARECKI
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
12084P0800XPsychiatry Physician30495KY

General Provider Information

NPI Number : 1447260377
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA CAROL GAWARECKI
Provider Business Mailing Address
First Line : 1169 EASTERN PKWY STE 1149
Second Line :
City : LOUISVILLE
State : KY
Zip : 40217-1462
Country : US
Telephone Number : 502-432-3229
Fax Number : 502-688-5098
Provider Business Practice Location Address
First Line : 1169 EASTERN PKWY STE 1149
Second Line :
City : LOUISVILLE
State : KY
Zip : 40217-1462
Country : US
Telephone Number : 502-432-3229
Fax Number : 502-688-5098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 10/29/2022

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Directions to “ CYNTHIA CAROL GAWARECKI ” Practice Location

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