Commonwealth of Kentucky
NPI #1578871679 in Louisville, Kentucky
Provider Information
- NPI Number
- 1578871679
- Entity Type
- Organization
- Organization Name
- Commonwealth of Kentucky
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMONWEALTH OF KENTUCKY
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 23, 2010
- Last Updated
- Oct 30, 2024
Practice Location
- Address
- 10510 LAGRANGE ROAD
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40223
- Phone
- (502) 253-7000
Authorized Official
- Name
- JENNIFER MOORE
- Title
- ASSISTANT DIRECTOR
- Phone
- (502) 782-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Psychiatric Hospital |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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