1538516596 NPI number — MISS KAYCE LYNNE GUTHRIE MHA, BSW

Table of content: MISS KAYCE LYNNE GUTHRIE MHA, BSW (NPI 1538516596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538516596 NPI number — MISS KAYCE LYNNE GUTHRIE MHA, BSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUTHRIE
Provider First Name:
KAYCE
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MHA, BSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538516596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
385 ALEXANDER LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYFIELD
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42066-8333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-705-9054
Provider Business Mailing Address Fax Number:
270-247-0142

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
385 ALEXANDER LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42066-8333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-705-9054
Provider Business Practice Location Address Fax Number:
270-247-0142
Provider Enumeration Date:
05/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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