Provider Demographics
NPI:1558660944
Name:SLEEP DIAGNOSTICS OF KENTUCKY, INC
Entity Type:Organization
Organization Name:SLEEP DIAGNOSTICS OF KENTUCKY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-880-4184
Mailing Address - Street 1:234 SEVEN SPRINGS LOOP
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28625-9150
Mailing Address - Country:US
Mailing Address - Phone:606-277-0060
Mailing Address - Fax:606-277-0062
Practice Address - Street 1:606A KNOX STREET
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906
Practice Address - Country:US
Practice Address - Phone:606-277-0060
Practice Address - Fax:606-277-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic