Provider Demographics
NPI:1912219437
Name:KENTUCKY SCHOOL FOR THE BLIND
Entity Type:Organization
Organization Name:KENTUCKY SCHOOL FOR THE BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INSTRUCTION
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-897-1583
Mailing Address - Street 1:1867 FRANKFORT AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-3148
Mailing Address - Country:US
Mailing Address - Phone:502-897-1583
Mailing Address - Fax:502-897-2994
Practice Address - Street 1:1867 FRANKFORT AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-3148
Practice Address - Country:US
Practice Address - Phone:502-897-1583
Practice Address - Fax:502-897-2994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)