Kentucky Life Source Inc
Kentucky Life Source Inc is a Community/Behavioral Health Agency in Louisville, Kentucky. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2619 W BroadwayLouisville, KY 40211-1332
Phone: (502) 303-7665
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1083471262 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Sanders — Credentialing Admin · (502) 365-3394 |
| NPI enumerated | March 4, 2024 |
| Last updated in NPPES | March 13, 2025 |
| Certification date | March 13, 2025 |
| Mailing address | 2619 W Broadway, Louisville, KY 40211-1332 |
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