Healthcare Provider Details

I. General information

NPI: 1689061863
Provider Name (Legal Business Name): SELECT EMPLOYMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13201 MAGISTERIAL DR
LOUISVILLE KY
40223-4105
US

IV. Provider business mailing address

13201 MAGISTERIAL DR
LOUISVILLE KY
40223-4105
US

V. Phone/Fax

Practice location:
  • Phone: 800-645-5678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DOUG MEANS
Title or Position: DIRECTOR OF SPORTS MEDICINE
Credential: ATC
Phone: 502-544-0323