Maranda Manning

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

NPI 1831732536 · NPPES record last updated Oct 25, 2019

Key facts

NPI
1831732536
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
90 Medical LN
Whitley City, KY 42653-4216
Phone
(606) 376-2466
NPI assigned
Oct 25, 2019
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

90 Medical LN
Whitley City, KY 42653-4216

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223

Other providers in Whitley City, KY

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

Sources for this page

Verify at the official NPI Registry.