Healthcare Provider Details

I. General information

NPI: 1033823547
Provider Name (Legal Business Name): KPI THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 HUTCHISON RD
PARIS KY
40361-9005
US

IV. Provider business mailing address

287 HUTCHISON RD
PARIS KY
40361-9005
US

V. Phone/Fax

Practice location:
  • Phone: 606-584-1169
  • Fax:
Mailing address:
  • Phone: 606-584-1169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SHELIA BESS
Title or Position: ED
Credential:
Phone: 606-584-1169