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Contact Information

SHAWNICKA D ITSON, B.A
1351 NEWTOWN PIKE
LEXINGTON, KY40511
 Phone: 859-253-1686
 Fax: 859-254-2743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for SHAWNICKA D ITSON · (Female)

NPI Number 1215358700
Status Active
Credentials B.A
Entity Individual
Enumeration date 12/30/2013
Last updated 01/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 171M00000
  • KY Medicaid 1790731081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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