Organization Name: | KID STEPS INC |
NPI Number: | 1184742108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELLA M KINCAID (PRIMARY SERVICE COORDINATOR FOR FIR) |
Mailing Address: | 95 Edmonds Lane Russell Springs |
State: | KY US |
Postal Code: | 426429529 |
Phone Number: | 2708667848 |
Fax Number: | 2708667848 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 1027282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |