COMMUNITY CARE OF KENTUCKY, INC

LOUISVILLE, KY
NPI1851779888
Other NameKENTUCKY04
Entity TypeOrganization
Authorized ContactMANDY HOLLAND
Credentialing Manager
256-504-3326
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
COMMUNITY CARE OF KENTUCKY, INC
3438 TAYLOR BLVD
LOUISVILLE, KY 40215-2648
Phone number: 502-366-4442
Mailing Address
COMMUNITY CARE OF KENTUCKY, INC
PO BOX 2369
ANNISTON, AL 36202-2369
Phone number: 256-241-3965