Organization
LUMINA OF CAMPBELLSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DEYOUNG (DIRECTOR OF BILLING)
(502) 245-0767
Entity
Organization
Contact information
Practice address
2020 HODGENVILLE RD, CAMPBELLSVILLE, KY 42718-8466
(270) 849-2312
(270) 849-2406
Mailing address
2020 HODGENVILLE RD, CAMPBELLSVILLE, KY 42718-8466
(270) 849-2312
(270) 849-2406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002216
KY
225X00000X
Occupational Therapist
R1581
KY
225X00000X
Occupational Therapist
Primary
R2779
KY
Other
Enumeration date
07/09/2006
Last updated
09/11/2025
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