Carol Ann Kardisco in Jim Thorpe - Clinical
Carol Ann Kardisco - NPI 1407967987
Carol Ann Kardisco is a Clinical in Jim Thorpe, Pennsylvania. Carol Ann Kardisco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Ann Kardisco is 1407967987. The last update date is 2007-07-08.
Carol Ann Kardisco's current location address is 38 Broad Mountain View Drive, Jim Thorpe, Pennsylvania. You can contact this provider via phone number 5703258969 and fax number 5703258073. The mailing address for Carol Ann Kardisco is 38 Broad Mountain View Drive, Jim Thorpe, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ann Kardisco |
|---|---|
| Address | 38 Broad Mountain View Drive, Jim Thorpe, Pennsylvania |
| Phone Number | 5703258969 |
| Fax Number | 5703258073 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1407967987 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 38 Broad Mountain View Drive |
|---|---|
| City | Jim Thorpe |
| State | Pennsylvania (PA) |
| Post Code | 18229 |
| Phone Number | 5703258969 |
| Fax Number | 5703258073 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015259 |
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What is the unique 10-digit identification code assigned to Carol Ann Kardisco by the Centers for Medicare & Medicaid Services?
The Carol Ann Kardisco has been issued the NPI (National Provider Identifier) 1407967987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carol Ann Kardisco?
The Carol Ann Kardisco is physically situated at 38 Broad Mountain View Drive, in the city of Jim Thorpe, state of PA, with the postal code 18229.
What is Carol Ann Kardisco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carol Ann Kardisco is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Carol Ann Kardisco's 1407967987 issued?
The Carol Ann Kardisco's 1407967987 was issued on 2006-08-31.
As of what date were the details pertaining to Carol Ann Kardisco last refreshed?
The information related to the Carol Ann Kardisco, including its address, specialty, and other relevant details, was last updated on 2007-07-08.