Larry Spicer
Case Manager/Care Coordinator in Hazard, KY. Individual provider (NPI-1).
NPI number1124339841
StatusActive
Last updated in NPPESJun 12, 2015
Details
- NPI
- 1124339841
- Entity type
- Individual (NPI-1)
- Name
- Larry Spicer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2010
- Last updated
- Jun 12, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
115 Rockwood LnHazard, KY 41701-9415
Phone 606-436-5761 · Fax 606-436-5797
Mailing address
115 Rockwood LnHazard, KY 41701-9415
Phone 606-436-5761 · Fax 606-436-5797
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 133 Case Manager/Care Coordinator providers in Hazard · All 1,357 providers in Hazard
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