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NPI Code Detail

MEDICARE: CASEY R WORKMAN

MEDICARE: CASEY R WORKMAN
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
1207V00000XObstetrics & Gynecology Physician1145968KY

General Provider Information

NPI Number : 1720889611
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY R WORKMAN
Provider Business Mailing Address
First Line : 116 TRAMMELL RD
Second Line :
City : BAGDAD
State : KY
Zip : 40003-8037
Country : US
Telephone Number : 714-458-2661
Fax Number :
Provider Business Practice Location Address
First Line : 845 HELEN DR
Second Line :
City : LEBANON
State : PA
Zip : 17042-7493
Country : US
Telephone Number : 717-273-8835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 03/24/2025

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Directions to “ CASEY R WORKMAN ” Practice Location

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