Healthcare Provider Details

I. General information

NPI: 1598379885
Provider Name (Legal Business Name): NORTHERN KENTUCKY ARTHRITIS RHEUMATOLOGY AND INFUSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-3444
US

IV. Provider business mailing address

545 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-3444
US

V. Phone/Fax

Practice location:
  • Phone: 859-282-1400
  • Fax: 859-282-9200
Mailing address:
  • Phone: 859-282-1400
  • Fax: 859-282-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: HEATHER RAVENSCRAFT
Title or Position: OFFICE MANAGER
Credential:
Phone: 859-282-1400