Organization
KND DEVELOPMENT 59 LLC
Active
Parent organization
KINDRED HEALTHCARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINDRED HEALTHCARE, INC
Authorized official
LINDA L FISHER (DVP REVENUE CYCLE)
(502) 596-7358
Entity
Organization
Contact information
Practice address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(502) 596-4150
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
(833) 501-9731
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL118A
MEDICARE
FL
Enumeration date
01/13/2010
Last updated
06/11/2020
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