MEDICARE: ZACHARY PALMER

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
1	1041C0700X	Clinical Social Worker	255089	KY

General Provider Information

NPI Number	:	1659924348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY PALMER

Provider Business Mailing Address
First Line	:	789 EASTERN BYP STE 23
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2421
Country	:	US
Telephone Number	:	859-544-8171
Fax Number	:	859-544-8197

Provider Business Practice Location Address
First Line	:	789 EASTERN BYP STE 23
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2421
Country	:	US
Telephone Number	:	859-544-8171
Fax Number	:	859-544-8197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	11/13/2025

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Directions to “ ZACHARY PALMER ” Practice Location

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