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Contact Information

KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
5115 S 3RD ST
LOUISVILLE, KY40214-2601
 Phone: 502-690-1511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Methadone

261QM2800X
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for KENTUCKY RECOVERY LIMITED LIABILITY COMPANY

NPI # 1457952012
LBN Legal business name KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
Authorized official JOSEPH NALLEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2020
Last updated 11/02/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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