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Johnny Wade Nantz II

Case Manager/Care Coordinator in Middlesboro, KY. Individual provider (NPI-1).

NPI number1982255030
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1982255030
Entity type
Individual (NPI-1)
Name
Johnny Wade Nantz II
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2019
Last updated
Sep 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

809 N 19th St
Middlesboro, KY 40965

Phone 606-248-3042

Mailing address

134 Silk Stocking Rd
Wallins Creek, KY 40873-8963

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Other Case Manager/Care Coordinator providers in Middlesboro, KY

All 7 Case Manager/Care Coordinator providers in Middlesboro · All 320 providers in Middlesboro

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