Organization
KID POWER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MICHELLE DEAN OTR/L (OWNER/PRESIDENT/THERAPIST)
(502) 338-9216
Entity
Organization
Contact information
Practice address
17700 HIGHWAY 148, FISHERVILLE, KY 40023-9731
(502) 338-0216
Mailing address
17000 HIGHWAY 148, FISHERVILLE, KY 40023
(502) 338-0216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
R1713
KY
252Y00000X
Early Intervention Provider Agency
Primary
R1713
KY
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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