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Organization
HOME OF THE INNOCENTS, INC.
Active
Organization
HOME OF THE INNOCENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ANN KAUFMAN (CREDENTIALING/CONTRACT SPECIALIST)
(502) 596-1048
Entity
Organization
Contact information
Practice address
1050 E MARKET ST, LOUISVILLE, KY 40206-1874
(502) 596-1090
(502) 596-1410
Mailing address
1050 E MARKET ST, LOUISVILLE, KY 40206-1874
(502) 596-1090
(502) 596-1410
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
740143
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500989
—
KY
05
—
29101185
—
KY
05
—
29201183
—
KY
05
—
7100126000
—
KY
Enumeration date
09/20/2010
Last updated
05/15/2025
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