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Skilled Nursing Facility, Nursing Care, Pediatric

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Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1780639690 · enumerated 2006-05-23 · record updated 2026-08-05. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: LESLIE KAUFMAN, Credentialing SPecialist · (502) 596-1048

Addresses and phones

Specialties

  • Counselor, Professional 101YP2500X
  • Psychologist, Clinical 103TC0700X
  • Marriage & Family Therapist 106H00000X
  • Pediatrics 208000000X · License 740143 KY
  • Physical Therapist 225100000X · License 101130 KY
  • Occupational Therapist 225X00000X · License 101130 KY
  • Speech-Language Pathologist, 235Z00000X
  • Audiologist-Hearing Aid Fitter 237600000X
  • Case Management 251B00000X · License 740143 KY
  • Community/Behavioral Health 251S00000X
  • Clinic/Center, Rehabilitation 261QR0400X · License 101130 KY
  • Skilled Nursing Facility, Nursing Care, Pediatric 3140N1450X · Primary · License 100493 KY
  • Nurse Practitioner, Pediatrics 363LP0200X

In this directory

Locations and evidence

  • Practice location LOUISVILLE, KY, 40206
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.