Provider Demographics
NPI:1942370770
Name:KENTUCKY SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:KENTUCKY SLEEP CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-278-1460
Mailing Address - Street 1:230 FOUNTAIN CT
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1888
Mailing Address - Country:US
Mailing Address - Phone:866-327-3600
Mailing Address - Fax:866-327-4800
Practice Address - Street 1:230 FOUNTAIN CT
Practice Address - Street 2:SUITE 140
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1888
Practice Address - Country:US
Practice Address - Phone:866-327-3600
Practice Address - Fax:866-327-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic