Organization
KND DEVELOPMENT 59 LLC
Active
Parent organization
KINDRED HEALTHCARE , INC
Other names
4548 KH SOUTH BAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINDRED HEALTHCARE , INC
Authorized official
LINDA L FISHER (DVP REVENUE CYCLE)
(502) 596-7358
Entity
Organization
Contact information
Practice address
1246 W 155TH ST, GARDENA, CA 90247-4011
(310) 323-5330
(502) 596-4150
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7358
(833) 501-9731
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB211745
MEDICARE
CA
Enumeration date
01/20/2011
Last updated
07/01/2020
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