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Organization

NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY BOSLEY (FINANCE OFFICER)
(859) 283-1885
Entity
Organization

Contact information

Practice address
22 SPIRAL DR, FLORENCE, KY 41042-1300
(859) 283-1885
Mailing address
22 SPIRAL DR, FLORENCE, KY 41042-1300
(859) 283-1885

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33001421
KY
Enumeration date
05/12/2008
Last updated
05/06/2015
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