Organization
KENTUCKY INDEPENDENT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN CAID BSW:QIDP/QDDP (EXECUTIVE DIRECTOR)
(502) 417-1995
Entity
Organization
Contact information
Practice address
3503 WINCHESTER RD, LOUISVILLE, KY 40207-4337
(502) 417-1995
Mailing address
3503 WINCHESTER RD, LOUISVILLE, KY 40207-4337
(502) 417-1995
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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