# NORTHERN KY INDEPENDENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871971820
- **Authorized official:** SUSAN J LANDERS (SUPPORT SERVICES MANAGER)
- **Authorized official phone:** (859) 363-2040

## Contact information

- **Practice address:** 2014 EASTERN AVE, COVINGTON, KY 41014-1530
- **Practice address phone:** (859) 491-9200
- **Mailing address:** 610 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3416
- **Mailing address phone:** (859) 341-4264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015