Organization
KENTUCKY EARLY INTERVENTION SERVICES
Active
Organization
KENTUCKY EARLY INTERVENTION SERVICES
Active
Other names
State First Steps Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY G FAWBUSH RN, BSN (PROGRAM MANAGER)
(502) 564-3756
Entity
Organization
Contact information
Practice address
275 E MAIN ST, HS 2W-C, FRANKFORT, KY 40601-2321
(502) 564-3456
(502) 564-8003
Mailing address
275 E MAIN ST, HS 2W-C, FRANKFORT, KY 40601-2321
(502) 564-3456
(502) 564-8003
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24000028
—
KY
Enumeration date
07/20/2011
Last updated
07/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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