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Organization
KND DEVELOPMENT 59, LLC
Active
Organization
KND DEVELOPMENT 59, LLC
Active
Parent organization
KINDRED HEALTHCARE, INC
Other names
4644 KH BREA
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINDRED HEALTHCARE, INC
Authorized official
LINDA L FISHER (DVP REVENUE CYCLE)
(502) 596-7358
Entity
Organization
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(714) 529-6842
(502) 596-4150
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7358
(833) 501-9731
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG736A
MEDICARE
CA
Enumeration date
12/10/2009
Last updated
07/10/2025
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