Provider Demographics
NPI:1447747654
Name:KND DEVELOPMENT 59 , LLC
Entity Type:Organization
Organization Name:KND DEVELOPMENT 59 , LLC
Other - Org Name:4853 KH AURORA
Other - Org Type:Other Name
Authorized Official - Title/Position:DVP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7358
Mailing Address - Street 1:680 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2407
Mailing Address - Country:US
Mailing Address - Phone:502-596-7358
Mailing Address - Fax:833-501-9731
Practice Address - Street 1:700 POTOMAC ST FL 2
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6846
Practice Address - Country:US
Practice Address - Phone:319-273-8992
Practice Address - Fax:502-596-5140
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-13
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty