Provider Demographics
NPI:1285923581
Name:CAGGIANO, DENISE LYNN (MED)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LYNN
Last Name:CAGGIANO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11028 GALILEO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7201
Mailing Address - Country:US
Mailing Address - Phone:859-817-9007
Mailing Address - Fax:
Practice Address - Street 1:11028 GALILEO BLVD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-7201
Practice Address - Country:US
Practice Address - Phone:859-817-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist