Provider Demographics
NPI:1922854579
Name:PADGETT, CASEY COLIN
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:COLIN
Last Name:PADGETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NESBIT DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1732
Mailing Address - Country:US
Mailing Address - Phone:717-601-0451
Mailing Address - Fax:
Practice Address - Street 1:825 NESBIT DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1732
Practice Address - Country:US
Practice Address - Phone:717-601-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program