Provider Demographics
NPI:1497705693
Name:NAFUS, BEVERLEY KATHLEEN (LSW)
Entity type:Individual
Prefix:MRS
First Name:BEVERLEY
Middle Name:KATHLEEN
Last Name:NAFUS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 GLENVIEW CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3339
Mailing Address - Country:US
Mailing Address - Phone:859-341-3338
Mailing Address - Fax:
Practice Address - Street 1:7413 US 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1999
Practice Address - Country:US
Practice Address - Phone:859-547-5761
Practice Address - Fax:859-282-8780
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-3022104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker