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Organization
REHABILITATION SPECIALISTS OF KENTUCKIANA PLLC
Active
Organization
REHABILITATION SPECIALISTS OF KENTUCKIANA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMPSON (OWNER/MD)
(502) 551-8305
Entity
Organization
Contact information
Practice address
1599 PERSIMMON RIDGE DR, LOUISVILLE, KY 40245-7007
(502) 551-8305
Mailing address
1599 PERSIMMON RIDGE DR, LOUISVILLE, KY 40245-7007
(502) 551-8305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/16/2019
Last updated
03/15/2021
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