Provider Demographics
NPI:1558058917
Name:KND DEVELOPMENT 59 , LLC
Entity Type:Organization
Organization Name:KND DEVELOPMENT 59 , LLC
Other - Org Name:CORNERSTONE SPECIALTY HOSPITALS WEST MONROE
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:PO BOX 34098
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40232-4098
Mailing Address - Country:US
Mailing Address - Phone:502-596-7358
Mailing Address - Fax:
Practice Address - Street 1:6198 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-9013
Practice Address - Country:US
Practice Address - Phone:318-396-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-18
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty