Healthcare Provider Details

I. General information

NPI: 1184771446
Provider Name (Legal Business Name): SOMERSET INDEPENDENT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 COLLEGE ST
SOMERSET KY
42501-1311
US

IV. Provider business mailing address

305 COLLEGE ST
SOMERSET KY
42501-1311
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-5466
  • Fax: 606-678-0864
Mailing address:
  • Phone: 606-679-5466
  • Fax: 606-678-0864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA DICK
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 606-679-5466