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NPI Code Detail

MEDICARE: CHRISTA DAWN GILFORD

MEDICARE: CHRISTA DAWN GILFORD
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
1224Z00000XOccupational Therapy AssistantKY-A3730KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841497104
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA DAWN GILFORD
Provider Business Mailing Address
First Line : 15747 STATE ROUTE 136 E
Second Line :
City : HENDERSON
State : KY
Zip : 42420-9520
Country : US
Telephone Number : 270-826-9794
Fax Number : 270-826-6265
Provider Business Practice Location Address
First Line : 2500 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2005
Country : US
Telephone Number : 270-826-9794
Fax Number : 270-826-6265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTA DAWN GILFORD ” Practice Location

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