Organization
KND DEVELOPMENT 59 , LLC
Active
Parent organization
KINDRED HEALTHCARE, INC
Other names
4680 KH ST LOUIS
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
4930 LINDELL BLVD, SAINT LOUIS, MO 63108-1510
(314) 361-8700
(502) 596-4150
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7358
(833) 501-9731
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427387919
—
MO
01
—
MA3115
MEDICARE
MO
Enumeration date
12/14/2009
Last updated
07/01/2020
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