Kentucky Student Services
NPI #1053021303 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1053021303
- Entity Type
- Organization
- Organization Name
- Kentucky Student Services
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Nov 28, 2022
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 211 BREIGHTON CIR STE 11A
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-8150
- Phone
- (502) 352-8896
Authorized Official
- Name
- ANDREW STIVERS
- Title
- PRESIDENT
- Phone
- (502) 352-8896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Ophthalmology |
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