Healthcare Provider Details

I. General information

NPI: 1780592766
Provider Name (Legal Business Name): SIMPLY IRRESISTIBLE BEAUTY LTD. CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 RICHMOND RD STE 107
LEXINGTON KY
40509-1626
US

IV. Provider business mailing address

302 WILLIAMSBURG LN
GEORGETOWN KY
40324-2581
US

V. Phone/Fax

Practice location:
  • Phone: 502-370-5962
  • Fax:
Mailing address:
  • Phone: 502-370-5962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINA MARIA BROWN-HUDSON
Title or Position: PROSTHETICS
Credential:
Phone: 859-310-0476