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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