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Organization

REGIONAL CHILD DEVELOPMENT CLINICS

Active
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Organization

REGIONAL CHILD DEVELOPMENT CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETSY MARIE KITCHENS RN,C (EXECUTIVE DIRECTOR)
(270) 843-8284
Entity
Organization

Contact information

Practice address
1600 SCOTTSVILLE RD, SUITE 100, BOWLING GREEN, KY 42104-3217
(270) 843-8284
(270) 843-8362
Mailing address
1600 SCOTTSVILLE RD, SUITE 100, BOWLING GREEN, KY 42104-3217
(270) 843-8284
(270) 843-8362

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1002
KY
251C00000X
Developmentally Disabled Services Day Training Agency
1044
KY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1072556
KY
251C00000X
Developmentally Disabled Services Day Training Agency
3128
KY
251C00000X
Developmentally Disabled Services Day Training Agency
3209
KY

Other

Enumeration date
11/02/2006
Last updated
08/22/2020
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