Provider Demographics
| NPI: | 1154458057 |
|---|---|
| Name: | THE BEST KIDS, PLC |
| Entity type: | Organization |
| Organization Name: | THE BEST KIDS, PLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PHYSICIAN |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | HAROLD |
| Authorized Official - Middle Name: | J |
| Authorized Official - Last Name: | LIVERA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 502-895-9421 |
| Mailing Address - Street 1: | 217 BRECKENRIDGE LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LOUISVILLE |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 40207-3858 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 502-895-9421 |
| Mailing Address - Fax: | 502-899-5762 |
| Practice Address - Street 1: | 217 BRECKENRIDGE LN |
| Practice Address - Street 2: | |
| Practice Address - City: | LOUISVILLE |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 40207-3858 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 502-895-9421 |
| Practice Address - Fax: | 502-899-5762 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-27 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| KY | 25408 | 208000000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty |