Phallin Jade Key

NPI #1487454377 in Scottsville, Kentucky

Provider Information

NPI Number: 1487454377
Entity Type: Individual
Name: Phallin Jade Key
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 18, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 49 HILLVIEW DR
City: Scottsville
State: Kentucky
ZIP Code: 42164-9309
Phone: (270) 901-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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