Organization
BEREA INDEPENDENT SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CONKIN (SUPERINTENDENT)
(859) 986-8446
Entity
Organization
Contact information
Practice address
3 PIRATE PKWY, BEREA, KY 40403-1541
(859) 986-1601
(859) 986-1839
Mailing address
3 PIRATE PKWY, BEREA, KY 40403-1541
(859) 986-1601
(859) 986-1839
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21076021
—
KY
Enumeration date
09/14/2007
Last updated
09/14/2007
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