Kacie Dawn Altizer, | |
374 N Ky 7, Sandy Hook, KY 41171-7938 | |
(606) 738-6163 | |
(859) 241-3787 |
Full Name | Kacie Dawn Altizer |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 374 N Ky 7, Sandy Hook, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942824248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 291245 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
---|---|
Kacie Dawn Altizer, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8195 | Kacie Dawn Altizer, 374 N Ky 7, Sandy Hook, KY 41171-7938 Ph: (606) 738-6163 |
Emily Kiser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 Fax: 606-738-5030 | |
Gena Renee Maggard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 Fax: 606-738-5030 | |
Lori Case, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-329-8588 Fax: 606-329-8588 | |
Kalyn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 | |
Karen Lynn Rose, CSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 | |
Cornelia Mullins, Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 5 Box 800, Sandy Hook, KY 41171 Phone: 606-738-6163 Fax: 606-738-5030 | |
Patricia G Short, Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Prison Connector, Sandy Hook, KY 41171 Phone: 606-329-8588 Fax: 606-329-8195 |