Healthcare Provider Details

I. General information

NPI: 1114841079
Provider Name (Legal Business Name): NOVELIS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8155 OLD RAILROAD LN
GUTHRIE KY
42234-8661
US

IV. Provider business mailing address

8155 OLD RAILROAD LN
GUTHRIE KY
42234-8661
US

V. Phone/Fax

Practice location:
  • Phone: 270-962-4911
  • Fax:
Mailing address:
  • Phone: 270-962-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: KRISTIAN MOODY
Title or Position: EMERGENCY SERVICES COORDINATOR
Credential: EMT-B
Phone: 270-604-7454