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
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