THE KIDZ CLUB-PDN LLC NPI 1275182255

NPI Information

  • NPI: 1275182255
  • Provider Name: THE KIDZ CLUB-PDN, LLC
  • Classification:
  • Entity Type: Organization
  • Address: 1537 HIGHWAY 185
    SUITE 3
    BOWLING GREEN, KY
    ZIP 42101
  • Phone: (502) 210-5538

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NPI Details

THE KIDZ CLUB-PDN, LLC is a healthcare provider in Bowling Green, KY. THE KIDZ CLUB-PDN, LLC NPI is 1275182255. The provider is registered as an organization entity type.

The provider's business location address is:

1537 HIGHWAY 185
SUITE 3
BOWLING GREEN, KY
ZIP 42101
Phone: (502) 210-5538
Fax: (502) 327-5098

The provider's authorized official is Debra Ann Hunt .
The authorized official title is Vp Of Operations and has the following contact phone number (502) 724-9831.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 9/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1720506MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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