Organization
KENTUCKY SLEEP DISORDER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHA DAVE (REGISTERED AGENT)
(502) 222-0030
Entity
Organization
Contact information
Practice address
1006 NEW MOODY LN, LAGRANGE, KY 40031-9122
(502) 222-0030
(502) 222-0390
Mailing address
1006 NEW MOODY LN, LAGRANGE, KY 40031-9122
(502) 222-0030
(502) 222-0390
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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