Community Care Of Kentucky, Inc. is a Dental Clinic in Louisville, Kentucky. It is located at 2500 W Broadway Ste 100, Louisville, KY and its contact number is 502-776-1754. The authorized person for Community Care Of Kentucky, Inc. is Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 629-999-5006. Community Care Of Kentucky, Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Community Care Of Kentucky, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Community Care Of Kentucky, Inc.
Specialization:
General Practice Dentistry
Clinic Address:
2500 W Broadway Ste 100, Louisville, Kentucky, 40211-1184
Phone:
502-776-1754
Fax:
502-778-2301
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jenell Stump
Position:
Manager, Licensing & Credentialing
Contact Number:
629-999-5006
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Community Care Of Kentucky, Inc. clinic are as mentioned below.
NPI Number:
1811375785
NPI Enumeration Date:
12 May, 2015
NPI Last Update On:
07 May, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Care Of Kentucky, Inc. are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100298140
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Community Care Of Kentucky, Inc. Po Box 2369, Anniston, Alabama
Zip:
36202-2369
Phone Number:
256-241-3965
Fax Number:
256-241-1698
Patients can reach Community Care Of Kentucky, Inc. at 2500 W Broadway Ste 100, Louisville, Kentucky or can call to book an appointment on 502-776-1754. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.