Provider Demographics
NPI:1306223524
Name:AETNA BETTER HEALTH OF KENTUCKY INSURANCE COMPANY
Entity Type:Organization
Organization Name:AETNA BETTER HEALTH OF KENTUCKY INSURANCE COMPANY
Other - Org Name:AETNA BETTER HEALTH OF KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT AND SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-273-1051
Mailing Address - Street 1:9900 CORPORATE CAMPUS DR
Mailing Address - Street 2:STE. 1000
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4050
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9900 CORPORATE CAMPUS DR
Practice Address - Street 2:STE. 1000
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4050
Practice Address - Country:US
Practice Address - Phone:855-300-5528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization