MEDICARE: MRS. KATHY HOWARD M.S.W.

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	I 0003882	OH
2	1041C0700X	Clinical Social Worker	1330	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1912985441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHY HOWARD M.S.W.

Provider Business Mailing Address
First Line	:	6816 SHADOWLAWN DR
Second Line	:
City	:	ALEXANDRIA
State	:	KY
Zip	:	41001-7354
Country	:	US
Telephone Number	:	859-635-1482
Fax Number	:	859-635-1482

Provider Business Practice Location Address
First Line	:	1717 DIXIE HWY
Second Line	:	SUITE 200
City	:	FT WRIGHT
State	:	KY
Zip	:	41011-2766
Country	:	US
Telephone Number	:	859-578-4143
Fax Number	:	859-344-3183

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/09/2007

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