Ppl Rehab Services Pllc | |
8206 Highview Ct Crestwood KY 40014-8105 | |
(502) 262-2887 | |
Not Available |
Full Name | Ppl Rehab Services Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 8206 Highview Ct, Crestwood, Kentucky |
Authorized Official Name and Position | Jeffrey Hicks (OWNER) |
Authorized Official Contact | 5022622887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ppl Rehab Services Pllc 8206 Highview Ct Crestwood KY 40014-8105 Ph: (502) 262-2887 | Ppl Rehab Services Pllc 8206 Highview Ct Crestwood KY 40014-8105 Ph: (502) 262-2887 |
NPI Number | 1154949469 |
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Provider Enumeration Date | 07/13/2020 |
Last Update Date | 07/13/2020 |
Certification Date | 07/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154949469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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