| Ppl Rehab Services Pllc | |
|
8206 Highview Ct Crestwood KY 40014-8105 | |
| (502) 262-2887 | |
| Not Available |
| Full Name | Ppl Rehab Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8206 Highview Ct, Crestwood, Kentucky |
| Authorized Official Name and Position | Jeffrey Hicks (OWNER) |
| Authorized Official Contact | 5022622887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppl Rehab Services Pllc 8206 Highview Ct Crestwood KY 40014-8105 Ph: (502) 262-2887 | Ppl Rehab Services Pllc 8206 Highview Ct Crestwood KY 40014-8105 Ph: (502) 262-2887 |
| NPI Number | 1154949469 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154949469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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