Commonwealth of Kentucky

NPI #1265851760 in Dawson Springs, Kentucky

Provider Information

NPI Number
1265851760
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Apr 11, 2014
Last Updated
Apr 11, 2014

Practice Location

Address
23524 DAWSON SPRINGS RD
ZIP Code
42408-9205
Phone
(270) 797-3771

Authorized Official

Name
WENDY MORRIS
Title
DEPUTY COMMISSIONER
Phone
(502) 564-4527

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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