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NPI Code Detail

MEDICARE: MRS. WHITNEY I RADFORD-MCGEE LCSW

MEDICARE: MRS. WHITNEY I RADFORD-MCGEE LCSW
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
11041C0700XClinical Social Worker252986KY

General Provider Information

NPI Number : 1972968246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WHITNEY I RADFORD-MCGEE LCSW
Provider Business Mailing Address
First Line : PO BOX 306
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42702-0306
Country : US
Telephone Number : 270-350-0694
Fax Number :
Provider Business Practice Location Address
First Line : 134 HEARTLAND DR
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-2778
Country : US
Telephone Number : 270-300-0092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 12/08/2020

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