Evangeline Stevenson

Individual provider Active NPI Case Manager/Care Coordinator · Wilmore, KY

NPI 1427501048 · NPPES record last updated Jul 31, 2016

Key facts

NPI
1427501048
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
420 Epworth Ave
Wilmore, KY 40390-1190
Phone
(859) 388-0517
NPI assigned
Jul 31, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

420 Epworth Ave
Wilmore, KY 40390-1190

Mailing address

420 Epworth Ave
Wilmore, KY 40390-1190
Phone (859) 388-0517

Other providers in Wilmore, KY

All providers in Wilmore, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.