| Ninnieskidds Llc | |
|
1368 Olive St Louisville KY 40211-1747 | |
| (502) 281-8367 | |
| Not Available |
| Full Name | Ninnieskidds Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1368 Olive St, Louisville, Kentucky |
| Authorized Official Name and Position | Felicia Kidd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5022818367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ninnieskidds Llc 4312 W Market St Louisville KY 40212-2547 Ph: (502) 281-8367 | Ninnieskidds Llc 1368 Olive St Louisville KY 40211-1747 Ph: (502) 281-8367 |
| NPI Number | 1235986043 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235986043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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