COMMUNITY CARE OF KENTUCKY, INC. - NPI 1215327994

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Community Care Of Kentucky, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE OF KENTUCKY, INC. (NPI 1215327994) is a healthcare organization registered as a pediatrics in Louisville, Kentucky and active in the NPI registry since February 2015. The organization lists Todd Cruse, President, as its authorized official.

NPPES Registry Identity

NPI1215327994

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCOMMUNITY CARE OF KENTUCKY, INC.

Location Address3438 TAYLOR BLVDLouisville, KY 40215-2648

Mailing Address3438 Taylor BlvdLouisville, KY 40215-2648 · (502) 366-4442 · Fax (502) 366-4446

Phone(502) 366-4442

Fax(502) 366-4446

Organization SubpartNo

Authorized OfficialTodd CrusePresident · (629) 999-5006

Enumeration DateFebruary 2, 2015

Last NPPES UpdateFebruary 4, 2016

✔ NPI 1215327994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3438 TAYLOR BLVD, Louisville, KY 40215

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Other Identifiers 2

Other50086402KY · Passport Ky

Medicaid7100348540KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP