Organization
REKINDLED, LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HASKINS (OWNER/PROGRAM MANAGER)
(502) 682-7150
Entity
Organization
Contact information
Practice address
365 DUKE ROAD, SUITE# 2561, LEXINGTON, KY 40522
(859) 359-2004
Mailing address
365 DUKE ROAD, SUITE# 2561, LEXINGTON, KY 40522
(859) 359-2004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7717
KY
Other
Enumeration date
12/18/2016
Last updated
01/09/2017
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