Commonwealth of Kentucky
NPI #1508861683 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1508861683
- 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
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240-8095
- Phone
- (270) 889-6025
Authorized Official
- Name
- JENNIFER MOORE
- Title
- ASSISTANT DIRECTOR
- Phone
- (502) 782-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatric Hospital |
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