Cynthia Dawn Ketron in Kingsport - Clinical
Cynthia Dawn Ketron - NPI 1275756983
Cynthia Dawn Ketron is a Clinical in Kingsport, Tennessee. Cynthia Dawn Ketron practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cynthia Dawn Ketron is 1275756983. The last update date is 2008-01-21.
Cynthia Dawn Ketron's current location address is 3218 Dutchess Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232395912. The mailing address for Cynthia Dawn Ketron is 3218 Dutchess Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Dawn Ketron |
|---|---|
| Address | 3218 Dutchess Dr, Kingsport, Tennessee |
| Phone Number | 4232395912 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275756983 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2008-01-21 |
Provider Mailing Address Detail
| Address | 3218 Dutchess Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376632904 |
| Phone Number | 4232395912 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW000000314 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LSW0000003148 | TN | LCSW |
Post Comment/ Review Below
What is the unique identifier code issued to Cynthia Dawn Ketron by the Centers for Medicare & Medicaid Services (CMS)?
The Cynthia Dawn Ketron has been assigned the NPI (National Provider Identifier) 1275756983. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Cynthia Dawn Ketron's facilities are situated?
The facilities of Cynthia Dawn Ketron are physically located at the following address: 3218 Dutchess Dr, Kingsport, TN, 376632904.
What is Cynthia Dawn Ketron's area of expertise and its corresponding taxonomy classification?
The Cynthia Dawn Ketron's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275756983 to Cynthia Dawn Ketron?
The Centers for Medicare & Medicaid Services originally issued the 1275756983 to Cynthia Dawn Ketron on 2007-04-11.
When was the Cynthia Dawn Ketron's information last updated?
The Cynthia Dawn Ketron's information was last updated on 2008-01-21.