Healthcare Provider Details

I. General information

NPI: 1306223524
Provider Name (Legal Business Name): AETNA BETTER HEALTH OF KENTUCKY INSURANCE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 CORPORATE CAMPUS DR STE. 1000
LOUISVILLE KY
40223-4050
US

IV. Provider business mailing address

9900 CORPORATE CAMPUS DR STE. 1000
LOUISVILLE KY
40223-4050
US

V. Phone/Fax

Practice location:
  • Phone: 855-300-5528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT MARK KESSLER
Title or Position: VICE PRESIDENT AND SECRETARY
Credential:
Phone: 860-273-1051