Evyn Brumback
Individual provider Active NPI Developmental Therapist · Frankfort, KY
NPI 1780107417 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780107417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1471 Twilight TRL Ste a
Frankfort, KY 40601 - Phone
- (502) 320-3128
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Therapy Group, LLC | Current |
Accepting new patients |
Locations
1471 Twilight Trl
Ste A
Frankfort, KY 40601
Phone (502) 320-3128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | KY | Yes |
Addresses
Primary practice location
1471 Twilight TRL Ste a
Frankfort, KY 40601
Mailing address
1471 Twilight TRL Ste a
Frankfort, KY 40601-8497
Phone (067) 776-1450
Other names
- Evyn Taylor Kemper
Other providers in Frankfort, KY
- Bertram Brown
- Laura J. Brown
- Terence Carlisle Brown
- Sydney Bruce
- Cari Bruins
- Richard V Brunner
- Lesley G Bryant
- Matthew Harold Bucher
- Lynna S Buckman
- Susan Buckman
All providers in Frankfort, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.