Healthcare Provider Details

I. General information

NPI: 1912909086
Provider Name (Legal Business Name): ADVANCED TECHNOLOGY OF KENTUCKY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7570 US HWY 42
FLORENCE KY
41042-2324
US

IV. Provider business mailing address

7570 US HWY 42
FLORENCE KY
41042-2324
US

V. Phone/Fax

Practice location:
  • Phone: 859-578-4822
  • Fax: 859-578-4828
Mailing address:
  • Phone: 859-578-4822
  • Fax: 859-578-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberBL00006890
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberHMEL11172
License Number StateOH

VIII. Authorized Official

Name: MR. MIKE SELTZER
Title or Position: DIRECTOR
Credential:
Phone: 859-578-2341