Individual
MRS. DIANA CLEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 ABERDEEN DR, LEXINGTON, KY 40517-1301
(859) 272-4247
(859) 272-0165
Mailing address
225 ABERDEEN DR, LEXINGTON, KY 40517-1301
(859) 272-4247
(859) 272-0165
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01964
PROVIDER ID FOR BILLING
KY
Enumeration date
03/28/2007
Last updated
07/08/2007
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