Edwin Raidt
NPI #1265793905 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1265793905
- Entity Type
- Individual
- Name
- Edwin Raidt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- May 30, 2012
- Last Updated
- Feb 13, 2013
Practice Location
- Address
- 250 ALPINE DR
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-8880
- Phone
- (502) 589-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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