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NPI Code Detail

MEDICARE: CYNTHIA KAY WHITED CST/CSFA

MEDICARE: CYNTHIA KAY WHITED CST/CSFA
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
1246ZS0410XSurgical Technologist

General Provider Information

NPI Number : 1780871673
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA KAY WHITED CST/CSFA
Provider Business Mailing Address
First Line : 1013 N. 13TH STREET
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2011
Country : US
Telephone Number : 765-428-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1013 N. 13TH STREET
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2011
Country : US
Telephone Number : 765-428-8888
Fax Number : 765-428-8889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 04/25/2024

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Directions to “ CYNTHIA KAY WHITED CST/CSFA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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