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Organization
KENTUCKY EASTER SEAL SOCIETY INC
Active
Organization
KENTUCKY EASTER SEAL SOCIETY INC
Active
Other names
Cardinal Hill Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY GIL GILLIHAN (PRESIDENT CEO)
(859) 254-5701
Entity
Organization
Contact information
Practice address
85 N GRAND AVENUE, ST LUKE HOSPITAL EAST, FORT THOMAS, KY 41075
(859) 572-3880
(859) 572-3895
Mailing address
PO BOX 4728, LEXINGTON, KY 40544-4728
(859) 254-5701
(859) 233-1615
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327149
ANTHEM
—
05
—
01000306
—
KY
05
—
2506069
—
OH
05
—
50008447
—
KY
Enumeration date
10/25/2006
Last updated
08/22/2020
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