Western Ky Medical, LLC
NPI #1619395605 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1619395605
- Entity Type
- Organization
- Organization Name
- Western Ky Medical, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PINNACLE TREATMENT CENTERS, INC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Apr 7, 2014
- Last Updated
- Dec 20, 2019
Practice Location
- Address
- 609 HAMMOND PLZ
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240-4971
- Phone
- (270) 887-8333
Authorized Official
- Name
- ROBYN TANIS
- Title
- EXECUTIVE DIRECTOR PRACTICE MGMT
- Phone
- (856) 533-8762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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