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NPI Code Detail

MEDICARE: PREFERRED CASE MANAGEMENT, LLC

MEDICARE: PREFERRED CASE MANAGEMENT, LLC
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
1163WC0400XCase Management Registered Nurse

General Provider Information

NPI Number : 1659956225
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED CASE MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 2220 EXECUTIVE DR STE 101
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-4871
Country : US
Telephone Number : 859-294-4289
Fax Number : 859-294-4503
Provider Business Practice Location Address
First Line : 2220 EXECUTIVE DR STE 101
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-4871
Country : US
Telephone Number : 859-294-4289
Fax Number : 859-294-4503
Authorized Official
Title or Position : ADMINISTRATION
Name : DARREN RILE COKE
Credential :
Telephone Number : 859-294-4289
Provider Enumeration Date : 03/15/2021
Last Update Date : 03/15/2021

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Directions to “PREFERRED CASE MANAGEMENT, LLC ” Practice Location

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