IndividualActive
Brenda King, 01/01/2011
NPI 1659620425 · Early Intervention Provider Agency · Vine Grove, KY
Provider details
- NPI number
- 1659620425
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- 01/01/2011
- Sex
- Female
- Sole proprietor
- Yes
- License
- 252Y00000X (KY)
Specialties & taxonomies
Agencies
Practice location
301 Elmhurst Ave
Vine Grove, KY 40175-1211
Phone: (270) 317-0669
Approximate (ZIP-level) locationGet directions
Mailing address
301 Elmhurst Ave
Vine Grove, KY 40175-1211
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2012-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.