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NPI Code Detail

MEDICARE: AMY CLINE BS

MEDICARE:   AMY  CLINE  BS
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
1101Y00000XCounselor
2104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447436449
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CLINE BS
Provider Business Mailing Address
First Line : 2250 THUNDERSTICK DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9010
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-1075
Provider Business Practice Location Address
First Line : 2250 THUNDERSTICK DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9010
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2008
Last Update Date : 03/17/2018

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Directions to “ AMY CLINE BS” Practice Location

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