Healthcare Provider Details

I. General information

NPI: 1700876299
Provider Name (Legal Business Name): PULMONARY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BORON DR SUITE B
COVINGTON KY
41015-1721
US

IV. Provider business mailing address

4300 BORON DR SUITE B
COVINGTON KY
41015-1721
US

V. Phone/Fax

Practice location:
  • Phone: 859-655-2400
  • Fax: 859-655-2404
Mailing address:
  • Phone: 859-655-2400
  • Fax: 859-655-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4786190001
License Number StateKY

VIII. Authorized Official

Name: CAMEO KAE ZEHNDER
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 651-642-1825