NPI 1639526940

Children1st

Organisation Point of Service Elizabethtown, KY

Practice location

Address: 104 Holiday Court, Elizabethtown, KY 42701-8809
Phone: (270) 300-2044
Fax: (270) 360-3271
Mailing address: 104 Holiday CT, Elizabethtown, KY 42701-6490

Authorised official

Name: Tracey Lynne Fowl
Title: Developmental Interventionist
Phone: (270) 300-2044

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence EDSP 71846 (KY)

Other Point of Service providers in Kentucky →

Registry record

NPI: 1639526940
Entity type: Organization
NPI issued: 17 May 2016
Record last updated: 17 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.