1225320567 NPI number — KINDRED HEALTHCARE OPERATING, LLC

Table of content: DR. TUYEN M. LE D.D.S. (NPI 1831217900)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225320567 NPI number — KINDRED HEALTHCARE OPERATING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KINDRED HEALTHCARE OPERATING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225320567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
680 S 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40202-2407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-596-7358
Provider Business Mailing Address Fax Number:
833-501-9731

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
365 E NORTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHLAKE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60164-2628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-345-8100
Provider Business Practice Location Address Fax Number:
502-596-4150
Provider Enumeration Date:
05/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
FISHER
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DVP REVENUE CYCLE
Authorized Official Telephone Number:
502-596-7484

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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