Healthcare Provider Details

I. General information

NPI: 1831395383
Provider Name (Legal Business Name): NORTHERN KENTUCKY INDEPENDENT DISITRICT HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 BARNES RD
WILLIAMSTOWN KY
41097-9482
US

IV. Provider business mailing address

8001 VETERANS MEMORIAL DR
FLORENCE KY
41042-7526
US

V. Phone/Fax

Practice location:
  • Phone: 859-824-5074
  • Fax: 859-824-3220
Mailing address:
  • Phone: 859-341-4264
  • Fax: 859-578-3689

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: MRS. LYNNE SADDLER
Title or Position: DISTRICT DIRECTOR HEALTH
Credential: MD, MPH
Phone: 859-341-4264