Provider Demographics
NPI:1699380451
Name:SEWARD, JULIA A (CSFA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:SEWARD
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:KY
Mailing Address - Zip Code:40055-0187
Mailing Address - Country:US
Mailing Address - Phone:502-727-9918
Mailing Address - Fax:
Practice Address - Street 1:1023 NEW MOODY LN STE 102
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-9183
Practice Address - Country:US
Practice Address - Phone:502-222-0598
Practice Address - Fax:502-222-7446
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant