Organization
LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Louisville Metro Depart of Public Health & Wellness-Portland WIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R KRING CPA (BUSINESS MANAGER II)
(502) 574-8430
Entity
Organization
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 574-6672
(502) 574-3489
Mailing address
400 EAST GRAY STREET, P.O. BOX 1704, LOUISVILLE, KY 40202-1704
(502) 574-5652
(502) 574-6417
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059184
PASSPORT MANAGED CARE NUM
KY
05
—
20056164
—
KY
Enumeration date
02/23/2007
Last updated
08/22/2020
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