OrganizationActive
Northern Kentucky Consumer Directed Options Program
NPI 1104958370 · Supports Brokerage Agency · Florence, KY
Provider details
- NPI number
- 1104958370
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Larry Bosley, Finance Officer(859) 283-1885
Specialties & taxonomies
Agencies
Practice location
22 Spiral Dr
Florence, KY 41042-1300
Phone: (859) 283-1885
Fax: (859) 283-8178
Approximate (ZIP-level) locationGet directions
Mailing address
22 Spiral Dr
Florence, KY 41042-1300
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2015-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.