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Organization

KYPPEC,INC

Active
Other names
The Kidz Club
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEE B ZIMMERMAN (PRES)
(502) 210-5538
Entity
Organization

Contact information

Practice address
1101 HERR LN, LOUISVILLE, KY 40222-4301
(502) 210-5538
(502) 327-5098
Mailing address
1101 HERR LN, LOUISVILLE, KY 40222-4301
(502) 210-5538
(502) 327-5098

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
760001
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45000098
KY
01
50000542
KY PASSPORT PROVIDER NUMB
KY
Enumeration date
02/22/2007
Last updated
01/20/2015
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