Individual ProviderKristen Miyo SimmonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(502) 287-4000PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Miyo Simmons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1972615300Provider TypeIndividualFull NameSimmons, Kristen MiyoGenderFemaleSole ProprietorNoEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-4000FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer