Kennedy Individualized Community Services
Organization Active NPI Developmentally Disabled Services Day Training Agency · Melber, KY
NPI 1982138061 · NPPES record last updated Apr 17, 2017
Key facts
- NPI
- 1982138061
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- KENNEDY INDIVIDUALIZED COMMUNITY SERVICES
- Practice address
- 6337 Shaw Rd
Melber, KY 42069-8834 - Phone
- (270) 674-5654
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
Authorized official
- Name
- George Kennedy
- Title
- Executive Director
- Phone
- (270) 674-5654
Corporate family (same tax ID) 1
Practitioners 1
-
Leslie S. McColgin, M.S., CCC-SLP
National Provider Directory
- Tax ID family
- Kennedy Individualized Community Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
6337 Shaw Rd
Melber, KY 42069-8834
Mailing address
6337 Shaw Rd
Melber, KY 42069-8834
Phone (270) 674-5654
Other providers in Melber, KY
- Michelle Kaye Hawkins
- Kennedy Individualized Community Services
- Leslie S. McColgin
- Crystal Lynette Mitchell
- New Pathways for Children, Inc.
All providers in Melber, KY · Developmentally Disabled Services Day Training Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2017. 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.