| Organization Name: | KENTUCKY SLEEP DISORDER CENTER |
| NPI Number: | 1114100617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NISHA G DAVE (REGISTERED AGENT) |
| Mailing Address: | 1006 New Moody Ln La Grange |
| State: | KY US |
| Postal Code: | 400319122 |
| Phone Number: | 5022220330 |
| Fax Number: | 5022220390 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2278P1004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Certified |
| Taxonomy Specialization: | Pulmonary Diagnostics |
| Taxonomy Definition: | Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |