Organization
KENTUCKY SLEEP LAB LLC
Active
Other names
Kentucky Sleep Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHA G DAVE (MANAGER)
(502) 565-4483
Entity
Organization
Contact information
Practice address
1006 NEW MOODY LN FL 2, LA GRANGE, KY 40031-9122
(502) 222-0330
(502) 222-0390
Mailing address
PO BOX 393, LA GRANGE, KY 40031-0393
(502) 222-0330
(502) 222-0390
Taxonomy
Speciality
Code
Description
License number
State
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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