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General NPI Number Information
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NPI Number | 1134298615
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Entity Type | Organization
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Legal Business Name | KINDRED HOSPITALS EAST, LLC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2401 S SIDE BLVD
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City | GREENSBORO
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State | NC
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Zip | 27406-3311
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Country | US
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Telephone | 336-271-2800
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Fax | 336-271-2734
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone |
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Fax | 502-212-8481
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 629-253-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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