Provider Demographics
NPI:1720889611
Name:WORKMAN, CASEY R
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:R
Last Name:WORKMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 TRAMMELL RD
Mailing Address - Street 2:
Mailing Address - City:BAGDAD
Mailing Address - State:KY
Mailing Address - Zip Code:40003-8037
Mailing Address - Country:US
Mailing Address - Phone:714-458-2661
Mailing Address - Fax:
Practice Address - Street 1:845 HELEN DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7493
Practice Address - Country:US
Practice Address - Phone:717-273-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1145968207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology