1275182255 NPI number — THE KIDZ CLUB-PDN, LLC

Table of content: (NPI 1275182255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275182255 NPI number — THE KIDZ CLUB-PDN, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE KIDZ CLUB-PDN, 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:
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:
1275182255
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1101 HERR LN
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:
40222-4301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-210-5538
Provider Business Mailing Address Fax Number:
502-327-5098

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1537 HIGHWAY 185
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
BOWLING GREEN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-210-5538
Provider Business Practice Location Address Fax Number:
502-327-5098
Provider Enumeration Date:
09/11/2019

Additional Information

Authorized Official

Authorized Official Last Name:
ROGERS
Authorized Official First Name:
JODY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
502-210-5538

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 720506 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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