Healthcare Provider Details

I. General information

NPI: 1942370770
Provider Name (Legal Business Name): KENTUCKY SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 FOUNTAIN CT SUITE 140
LEXINGTON KY
40509-1888
US

IV. Provider business mailing address

230 FOUNTAIN CT SUITE 140
LEXINGTON KY
40509-1888
US

V. Phone/Fax

Practice location:
  • Phone: 866-327-3600
  • Fax: 866-327-4800
Mailing address:
  • Phone: 866-327-3600
  • Fax: 866-327-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KELVIN G HANGER
Title or Position: PRESIDENT
Credential:
Phone: 859-278-1460