Provider Demographics
NPI:1548411903
Name:BELLAMY, JANET (PSCOORDINATOR)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:PSCOORDINATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 GRASSY BR
Mailing Address - Street 2:
Mailing Address - City:RACCOON
Mailing Address - State:KY
Mailing Address - Zip Code:41557-8402
Mailing Address - Country:US
Mailing Address - Phone:606-432-6050
Mailing Address - Fax:
Practice Address - Street 1:762 GRASSY BR
Practice Address - Street 2:
Practice Address - City:RACCOON
Practice Address - State:KY
Practice Address - Zip Code:41557-8402
Practice Address - Country:US
Practice Address - Phone:606-432-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator