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NPI Code Detail

MEDICARE: KACY M HAMBEL LPN

MEDICARE: KACY M HAMBEL LPN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171M00000XCase Manager/Care Coordinator
3164W00000XLicensed Practical NurseLPN.125187.MEDS-IVOH

General Provider Information

NPI Number : 1568825008
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACY M HAMBEL LPN
Provider Business Mailing Address
First Line : 203 N MAIN ST
Second Line :
City : NEW LEXINGTON
State : OH
Zip : 43764-1264
Country : US
Telephone Number : 740-342-1991
Fax Number :
Provider Business Practice Location Address
First Line : 203 N MAIN ST
Second Line :
City : NEW LEXINGTON
State : OH
Zip : 43764-1264
Country : US
Telephone Number : 740-342-1991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 04/08/2025

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Directions to “ KACY M HAMBEL LPN” Practice Location

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