|
| |
|
71 Orphanage Rd Ft Mitchell KY 41017-3006 | |
| (859) 331-0880 | |
| (855) 704-1573 |
| Full Name | |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 71 Orphanage Rd, Ft Mitchell, Kentucky |
| Authorized Official Name and Position | Pam Green (CEO) |
| Authorized Official Contact | 8593310880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
71 Orphanage Rd Ft Mitchell KY 41017-3006 Ph: (859) 331-0880 | 71 Orphanage Rd Ft Mitchell KY 41017-3006 Ph: (859) 331-0880 |
| NPI Number | 1568732758 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 0042383937 |
|---|---|
| Medicare Enrollment ID | O20191009002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568732758 | NPI | - | NPPES |
| Provider Name | Cassie L Landrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255392973 PECOS PAC ID: 9638104920 Enrollment ID: I20051005001029 |
| Provider Name | Kelsey R Griffith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316475825 PECOS PAC ID: 9830427384 Enrollment ID: I20190822001348 |
| Provider Name | Amy L Kinsler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861658957 PECOS PAC ID: 3072844646 Enrollment ID: I20191011002059 |
| Provider Name | Allie Narowski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861137283 PECOS PAC ID: 0749629830 Enrollment ID: I20240423001148 |
| Provider Name | Konner Sloane Street |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780453308 PECOS PAC ID: 6507305943 Enrollment ID: I20240828005192 |
| Provider Name | Alexandra Demboski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013478510 PECOS PAC ID: 9931438710 Enrollment ID: I20240924001934 |
Northern Kentucky Psychiatry Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2380 Grandview Dr, Ft Mitchell, KY 41017 Phone: 859-331-7234 Fax: 859-578-7986 | |
Diocesan Catholic Children's Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-2040 Fax: 859-344-5022 |