| Rekindled, Limited Liability Company | |
|
365 Duke Road Suite# 2561 Lexington KY 40522 | |
| (859) 359-2004 | |
| Not Available |
| Full Name | Rekindled, Limited Liability Company |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 Duke Road, Lexington, Kentucky |
| Authorized Official Name and Position | Kimberly Haskins (OWNER/PROGRAM MANAGER) |
| Authorized Official Contact | 5026827150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rekindled, Limited Liability Company 365 Duke Road Suite# 2561 Lexington KY 40522 Ph: (859) 359-2004 | Rekindled, Limited Liability Company 365 Duke Road Suite# 2561 Lexington KY 40522 Ph: (859) 359-2004 |
| NPI Number | 1699219162 |
|---|---|
| Provider Enumeration Date | 12/18/2016 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699219162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7717 (Kentucky) | Primary |
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