Organization
KENTUCKY SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHA DAVE MBA (OWNER)
(502) 667-0692
Entity
Organization
Contact information
Practice address
1006 NEW MOODY LN, SECOND FLOOR, LA GRANGE, KY 40031-9122
(502) 667-0692
(502) 222-0390
Mailing address
1006 NEW MOODY LN, PO BOX 393, LA GRANGE, KY 40031-9122
(502) 667-0692
(502) 222-0390
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
07/28/2009
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