NPI 1083062608

Kentucky Independent Support Services

Organisation Case Management Agency Louisville, KY

Practice location

Address: 3503 Winchester Rd, Louisville, KY 40207-4337
Phone: (502) 417-1995

Authorised official

Name: Kristin Caid
Title: Executive Director
Phone: (502) 417-1995

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1083062608
Entity type: Organization
NPI issued: 25 May 2016
Record last updated: 25 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.