Provider Demographics
NPI:1790929677
Name:TRUST FAMILY HEALTH CARE INC
Entity Type:Organization
Organization Name:TRUST FAMILY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KESTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:502-291-5815
Mailing Address - Street 1:4604 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3726
Mailing Address - Country:US
Mailing Address - Phone:502-291-5815
Mailing Address - Fax:
Practice Address - Street 1:4604 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3726
Practice Address - Country:US
Practice Address - Phone:502-291-5815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty