Kentucky Sleep Disorder Center

NPI #1114100617 in La Grange, Kentucky

Provider Information

NPI Number: 1114100617
Entity Type: Organization
Organization Name: Kentucky Sleep Disorder Center
Primary Specialty: Respiratory Therapist, Certified - Pulmonary Diagnostics
Enumeration Date: Dec 7, 2007
Last Updated: Dec 7, 2007

Practice Location

Address: 1006 NEW MOODY LN
City: La Grange
State: Kentucky
ZIP Code: 40031-9122
Phone: (502) 222-0330

Authorized Official

Name: NISHA G DAVE
Title: REGISTERED AGENT
Phone: (502) 222-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respiratory Therapist, Certified - Pulmonary Diagnostics — Pulmonary Diagnostics	2278P1004X	Primary

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