Cynthia A Fanning in Fort Campbel - Clinical

Cynthia A Fanning - NPI 1649398272

Cynthia A Fanning is a Clinical in Fort Campbel, Kentucky. Cynthia A Fanning practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cynthia A Fanning is 1649398272. The last update date is 2020-06-10.

Cynthia A Fanning's current location address is 650 Joel Dr., Fort Campbel, Kentucky. You can contact this provider via phone number 7857063409. The mailing address for Cynthia A Fanning is 650 Joel Dr., Fort Campbel, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia A Fanning
Address 650 Joel Dr., Fort Campbel, Kentucky
Phone Number 7857063409
Fax Number
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1649398272
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-06-10

Provider Mailing Address Detail

Address 650 Joel Dr.
City Fort Campbel
State Kentucky (KY)
Post Code 42223
Phone Number 7857063409
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC11150
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
326450099 ME MAINE CARE NUMBER

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FAQs about Cynthia A Fanning

What is the unique identifier code issued to Cynthia A Fanning by the Centers for Medicare & Medicaid Services (CMS)?

The Cynthia A Fanning has been assigned the NPI (National Provider Identifier) 1649398272. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Cynthia A Fanning is physically located?

The Cynthia A Fanning is physically situated at the following address: 650 Joel Dr., Fort Campbel, KY, 42223.

What is the Cynthia A Fanning's area of specialization and corresponding taxonomy classification?

The Cynthia A Fanning's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When was the Cynthia A Fanning's 1649398272 issued?

The Cynthia A Fanning's 1649398272 was issued on 2007-03-26.

When was the information pertaining to Cynthia A Fanning most recently updated or revised?

The details related to Cynthia A Fanning, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-10.

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