Provider Demographics
NPI:1184742108
Name:KID STEPS INC
Entity type:Organization
Organization Name:KID STEPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY SERVICE COORDINATOR FOR FIR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KINCAID
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:270-866-7848
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-0385
Mailing Address - Country:US
Mailing Address - Phone:270-866-7848
Mailing Address - Fax:270-866-7848
Practice Address - Street 1:95 EDMONDS LANE
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-9529
Practice Address - Country:US
Practice Address - Phone:270-866-7848
Practice Address - Fax:270-866-7848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1027282163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty