Organization
DX2GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD P. COYLE JR. B.S., RPSGT (EXECUTIVE DIRECTOR)
(502) 349-6900
Entity
Organization
Contact information
Practice address
301 W STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1493
(502) 724-7883
Mailing address
301 WEST STEPHEN FOSTER AVE., BARDSTOWN, KY 40004-1493
(502) 349-6900
(502) 349-6901
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
10/12/2011
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