Susan Charlotte Kiningham
Behavior Technician in Shepherdsville, KY. Individual provider (NPI-1).
NPI number1750158523
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1750158523
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Charlotte Kiningham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1707 Cedar Grove RdShepherdsville, KY 40165-8572
Phone 502-633-1007 · Fax 502-805-1511
Mailing address
90 Howard DrShelbyville, KY 40065-8138
Phone 502-633-1007 · Fax 502-805-1511
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Behavior Technician providers in Shepherdsville · All 431 providers in Shepherdsville
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