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NPI Code Detail

MEDICARE: MRS. CORNELIA PATERSON MILLIGAN LCSW

MEDICARE: MRS. CORNELIA PATERSON MILLIGAN LCSW
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
1104100000XSocial Worker378KY

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 : 1548392616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORNELIA PATERSON MILLIGAN LCSW
Provider Business Mailing Address
First Line : 1351 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1217
Country : US
Telephone Number : 859-253-1686
Fax Number : 859-254-2743
Provider Business Practice Location Address
First Line : 635 MAXWELTON CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-4012
Country : US
Telephone Number : 859-252-1939
Fax Number : 859-252-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 05/06/2019

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