John Nicholas Kravic in Louisville - Clinical Child & Adolescent

John Nicholas Kravic - NPI 1770660888

John Nicholas Kravic is a Clinical Child & Adolescent in Louisville, Kentucky. John Nicholas Kravic practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for John Nicholas Kravic is 1770660888. The last update date is 2007-07-08.

John Nicholas Kravic's current location address is 111 S Sherrin Ave, Louisville, Kentucky. You can contact this provider via phone number 5028959999 and fax number 5028959999. The mailing address for John Nicholas Kravic is 111 S Sherrin Ave, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name John Nicholas Kravic
Address 111 S Sherrin Ave, Louisville, Kentucky
Phone Number 5028959999
Fax Number 5028959999
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1770660888
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 111 S Sherrin Ave
City Louisville
State Kentucky (KY)
Post Code 402073221
Phone Number 5028959999
Fax Number 5028959999

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 721
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17608 V14833 KY ALTERNATIVE HEALTH
7585141 KY AETNA
41691 KY BLUE CROSS BLUE SHIELD
KY0003291 KY TRICARE
44837 KY VALUE OPTIONS
62-52930 KY UNITED BEHAVIORAL
75671 KY CMG

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FAQs about John Nicholas Kravic

Could you provide the complete physical address where John Nicholas Kravic is located?

The John Nicholas Kravic is situated at the following address: 111 S Sherrin Ave, Louisville, KY, 402073221.

Could you kindly provide the complete physical address where John Nicholas Kravic's facilities are geographically located?

The facilities of John Nicholas Kravic are physically situated at the following location: 111 S Sherrin Ave, Louisville, KY, 402073221.

On what date did John Nicholas Kravic receive its 1770660888 assignment from the Centers for Medicare & Medicaid Services?

The John Nicholas Kravic was assigned its 1770660888 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John Nicholas Kravic most recently updated or refreshed?

The details pertaining to the John Nicholas Kravic, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

As of what date was the information regarding John Nicholas Kravic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Nicholas Kravic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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