Cerebral Palsy Kids Center Inc | |
982 Eastern Parkway Louisville KY 40217-1501 | |
(502) 635-6397 | |
(502) 635-1147 |
Full Name | Cerebral Palsy Kids Center Inc |
---|---|
Speciality | Clinic/center - Health Service |
Location | 982 Eastern Parkway, Louisville, Kentucky |
Authorized Official Name and Position | Brittany Lutke (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5026356397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cerebral Palsy Kids Center Inc 982 Eastern Parkway # 6 Louisville KY 40217-1501 Ph: (502) 635-6397 | Cerebral Palsy Kids Center Inc 982 Eastern Parkway Louisville KY 40217-1501 Ph: (502) 635-6397 |
NPI Number | 1851450464 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 01/25/2021 |
Certification Date | 01/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851450464 | NPI | - | NPPES |
90630567 | Other | KY | DME MEDICAID |
200067440A | Other | IN | MEDICAID |
22000000217778 | Other | ANTHEM BLUE SHIELD ST | |
22000000217777 | Other | ANTHEM BLUE SHIELD OT | |
22000000217779 | Other | ANTHEM BLUE SHIELD PT | |
65901993 | Medicaid | KY | |
50006662 | Other | KY | PASSPORT MD |
50000598 | Other | KY | PASSPORT THERAPY |
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