Organization
KINETIC KIDS, INC.
Active
Organization
KINETIC KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA S POPE (PT/ PRES.)
(606) 219-1908
Entity
Organization
Contact information
Practice address
421 WOODS EDGE DR, SOMERSET, KY 42503-5604
(606) 219-1908
(606) 678-0874
Mailing address
421 WOODS EDGE DR, SOMERSET, KY 42503-5604
(606) 219-1908
(606) 678-0874
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
001530
KY
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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