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NPI Code Detail

MEDICARE: SN KENTUCKIANA REHAB, LLC

MEDICARE: SN KENTUCKIANA REHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
2261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1366915761
Entity Type Code : Organization
Provider Name (Legal Business Name) : SN KENTUCKIANA REHAB, LLC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3626 GRANT LINE RD STE 105
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2399
Country : US
Telephone Number : 812-944-1377
Fax Number : 812-944-1458
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : JOHN DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/16/2026

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Directions to “SN KENTUCKIANA REHAB, LLC ” Practice Location

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