Provider Demographics
NPI:1427356567
Name:KENTUCKY CASE MANAGEMENT SERVICES
Entity type:Organization
Organization Name:KENTUCKY CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMIKA
Authorized Official - Middle Name:H
Authorized Official - Last Name:COSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-263-8338
Mailing Address - Street 1:PO BOX 35488
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40232-5488
Mailing Address - Country:US
Mailing Address - Phone:502-263-8338
Mailing Address - Fax:502-742-8535
Practice Address - Street 1:1800 W MUHAMMAD ALI BLVD # 2H
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-1560
Practice Address - Country:US
Practice Address - Phone:502-263-8338
Practice Address - Fax:502-742-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management