Organization
THE KIDZ CLUB-PDN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY ROGERS (PRESIDENT)
(502) 210-5538
Entity
Organization
Contact information
Practice address
1537 HIGHWAY 185, SUITE 3, BOWLING GREEN, KY 42101
(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
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720506
—
KY
Enumeration date
09/11/2019
Last updated
09/11/2025
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