Organization
GREENWELL & GREENWELL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL B. GREENWELL (PRESIDENT)
(270) 699-2776
Entity
Organization
Contact information
Practice address
315 ROSEWOOD ST, LEBANON, KY 40033-8128
(270) 699-2776
(270) 699-2780
Mailing address
315 ROSEWOOD ST, LEBANON, KY 40033-8128
(270) 699-2776
(270) 699-2780
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R3058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649
FIRST STEPS PROVIDER
KY
Enumeration date
04/04/2007
Last updated
08/22/2020
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