Provider Demographics
NPI:1801323688
Name:COMPREHENSIVE HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANNON
Authorized Official - Suffix:
Authorized Official - Credentials:BILLING AGENT
Authorized Official - Phone:502-303-0919
Mailing Address - Street 1:PO BOX 436611
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40253-6611
Mailing Address - Country:US
Mailing Address - Phone:502-303-0919
Mailing Address - Fax:
Practice Address - Street 1:12409 WYNMEADE PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-1630
Practice Address - Country:US
Practice Address - Phone:502-303-0919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty