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NPI Code Detail

MEDICARE: KND DEVELOPMENT LLC

MEDICARE: KND DEVELOPMENT 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
1208M00000XHospitalist Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12347955OTHERNCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619206133
Entity Type Code : Organization
Provider Name (Legal Business Name) : KND DEVELOPMENT LLC
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number : 502-596-7300
Fax Number : 833-501-9731
Provider Business Practice Location Address
First Line : 2401 SOUTHSIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number : 336-271-2800
Fax Number : 502-596-4150
Authorized Official
Title or Position : DVP REVENUE CYCLE
Name : LINDA L FISHER
Credential :
Telephone Number : 502-596-7358
Provider Enumeration Date : 12/11/2009
Last Update Date : 04/18/2024

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Directions to “KND DEVELOPMENT LLC ” Practice Location

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