Commonwealth of Kentucky
NPI #1134124167 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1134124167
- Entity Type
- Organization
- Organization Name
- Commonwealth of Kentucky
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMONWEALTH OF KENTUCKY
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 2400 RUSSELLVILLE RD
- Address 2
- US 68 EAST
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42241
- Phone
- (502) 886-4431
Authorized Official
- Name
- JENNIFER MOORE
- Title
- ASSISTANT DIRECTOR
- Phone
- (502) 782-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Intermediate Care Facility, Intellectual Disabilities |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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Organizations
| Provider Name | |
|---|---|
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