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	:	1841175148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KND DEVELOPMENT 59, 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	:

Provider Business Practice Location Address
First Line	:	2122 MANCHESTER EXPY
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6878
Country	:	US
Telephone Number	:	706-596-4000
Fax Number	:

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

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	12/16/2025

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Directions to “KND DEVELOPMENT 59, LLC ” Practice Location

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