Healthcare Provider Details

I. General information

NPI: 1023335718
Provider Name (Legal Business Name): KENTUCKY HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2010
Last Update Date: 03/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 E ELKINS ST
STANTON KY
40380-2311
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-4536
US

V. Phone/Fax

Practice location:
  • Phone: 606-663-4758
  • Fax: 606-663-8034
Mailing address:
  • Phone: 615-920-7000
  • Fax: 615-920-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT SCOTT RAPLEE
Title or Position: PRESIDENT
Credential:
Phone: 615-920-7000