Organization
LOUSVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Louisville Metro Depart of Public Health & Wellness -Southpark TAPP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R. KRING CPA (BUSINESS MANAGER II)
(502) 574-8430
Entity
Organization
Contact information
Practice address
9110 NATIONAL TURNPIKE, FAIRDALE, KY 40118
(502) 485-8748
(502) 485-6391
Mailing address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-5652
(502) 574-6417
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251K000004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051425
PASSPORT MANAGED CARE NUM
KY
05
—
20056123
—
KY
Enumeration date
02/23/2007
Last updated
08/22/2020
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