| Easter Seals West Kentucky, Inc. | |
|
619 N 30th St Paducah KY 42001-4047 | |
| (270) 444-9687 | |
| Not Available |
| Full Name | Easter Seals West Kentucky, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 619 N 30th St, Paducah, Kentucky |
| Authorized Official Name and Position | Lee Henry (OPERATIONS MANAGER) |
| Authorized Official Contact | 2704447898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals West Kentucky, Inc. 801 N 29th St Paducah KY 42001-4056 Ph: () - | Easter Seals West Kentucky, Inc. 619 N 30th St Paducah KY 42001-4047 Ph: (270) 444-9687 |
| NPI Number | 1720123870 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720123870 | NPI | - | NPPES |
| 45229952 | Other | KY | EPSDT |
| 45229952 | Medicaid | KY |
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