Provider Demographics
NPI:1578369575
Name:ADVANCED TECHNOLOGY OF KENTUCKY INC.
Entity type:Organization
Organization Name:ADVANCED TECHNOLOGY OF KENTUCKY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKWELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-383-2490
Mailing Address - Street 1:7570 US HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2324
Mailing Address - Country:US
Mailing Address - Phone:859-578-4822
Mailing Address - Fax:
Practice Address - Street 1:6916 MORRISON PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-3116
Practice Address - Country:US
Practice Address - Phone:859-578-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED TECHNOLOGY OF KENTUCKY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies