Provider Demographics
NPI:1831324805
Name:KENTUCKY ORGAN DONOR AFFILIATES
Entity Type:Organization
Organization Name:KENTUCKY ORGAN DONOR AFFILIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-581-9511
Mailing Address - Street 1:106 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2006
Mailing Address - Country:US
Mailing Address - Phone:502-581-9511
Mailing Address - Fax:502-589-5157
Practice Address - Street 1:106 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2006
Practice Address - Country:US
Practice Address - Phone:502-581-9511
Practice Address - Fax:502-589-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable