Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COMMONWEALTH OF KENTUCKY
Active OrganizationICF/Individuals with Intellectual Disabilities · CRESTWOOD, KY
Registration Details
- NPI Number
- 1306824230
- Provider Type
- Organization
- NPI Issued
- Dec 30, 2005 (20.309705832902 yrs)
- Last Updated
- Aug 7, 2024
- License
-
100696 (KY)
Practice Information
- Address
-
9001 PARK WOOD DRCRESTWOOD, KY, 400149499Browse KY providers · Browse ZIP 40014
- Phone
- 5023612301
- Fax
- 5023636114
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.