Kiley S Radich, is a
Case Manager/care Coordinator based in Longview, Washington. Kiley S Radich is licensed to practice in Washington (license number CG61169626) and her current practice location is
748 14th Ave, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 200-5419.
NPI number for Kiley S Radich is 1225619778 and her current mailing address is Po Box 2394, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225619778.
Healthcare Provider's Profile
Full Name | Kiley S Radich |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 748 14th Ave, Longview, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225619778
- Provider Enumeration Date: 04/16/2021
- Last Update Date: 04/16/2021
Medical Identifiers
Medical identifiers for Kiley S Radich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225619778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CG61169626 (Washington) | Secondary |
171M00000X | Case Manager/care Coordinator | CG61169626 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiley S Radich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kiley S Radich, Po Box 2394, Longview, WA 98632-8455 Ph: (360) 200-5419 | Kiley S Radich, 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 |
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