Edwin Raidt

NPI 1265793905 - Counselor - 101Y00000X

NPI Details
NPI 1265793905
Gender Male
Enumeration Date 05/30/2012
Last Updated 02/13/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
250 ALPINE DR
SHELBYVILLE KY, 40065-8880, US
Phone (502) 589-8600
Fax (502) 589-8771
Business Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE KY, 40202-1423, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Kentucky
License Number 1564
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According to our database, Edwin Raidt NPI is 1265793905, taxonomy code is 101Y00000X and license number is 1564, license state is located at Kentucky. Edwin Raidt physically located at 250 Alpine Dr, Shelbyville KY, 40065-8880. NPI Number Edwin Raidt has the Individual type.

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1265793905 NPI number is provided on an as is basis without warranty of any kind. 1265793905 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Raidt are for informational purposes only.