MEDICARE: KND DEVELOPMENT 59 , 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
1	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1558058917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KND DEVELOPMENT 59 , LLC

Provider Business Mailing Address
First Line	:	PO BOX 34098
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40232-4098
Country	:	US
Telephone Number	:	502-596-7358
Fax Number	:

Provider Business Practice Location Address
First Line	:	6198 CYPRESS ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9013
Country	:	US
Telephone Number	:	318-396-5600
Fax Number	:

Authorized Official
Title or Position	:	DVP REVENUE CYCLE
Name	:	LINDA L FISHER
Credential	:
Telephone Number	:	502-596-7358

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	07/17/2025

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