Organization
ADVANCE SLEEP DISORDERS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEESAER (GENERAL MANAGER)
(502) 895-0301
Entity
Organization
Contact information
Practice address
6420 DUTCHMANS PARKWAY, SUITE 190, LOUISVILLE, KY 40205
(502) 895-0301
(502) 895-0309
Mailing address
6420 DUTCHMANS PARKWAY, SUITE 190, LOUISVILLE, KY 40205
(502) 895-0301
(502) 895-0309
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
730098
KY
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
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Other
Enumeration date
08/04/2006
Last updated
08/31/2012
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