Community Care of Kentucky, Inc.

NPI #1215327994 in Louisville, Kentucky

Provider Information

NPI Number: 1215327994
Entity Type: Organization
Organization Name: Community Care of Kentucky, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Feb 2, 2015
Last Updated: Feb 4, 2016

Practice Location

Address: 3438 TAYLOR BLVD
City: Louisville
State: Kentucky
ZIP Code: 40215-2648
Phone: (502) 366-4442

Authorized Official

Name: TODD CRUSE
Title: PRESIDENT
Phone: (629) 999-5006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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