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
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 - PsychiatryPsychiatry
Psychiatric Hospital

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