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General NPI Number Information
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NPI Number | 1235986043
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Entity Type | Organization
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Legal Business Name | NINNIESKIDDS LLC
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3050 W BROADWAY STE D
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City | LOUISVILLE
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State | KY
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Zip | 40211-1475
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Country | US
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Telephone | 502-281-8367
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Fax |
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Provider Business Mailing Address
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Address Line | 4312 W MARKET ST
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City | LOUISVILLE
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State | KY
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Zip | 40212-2547
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Country | US
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Telephone | 502-281-8367
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | FELICIA KIDD
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Credential |
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Telephone | 502-281-8367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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