Nky Med, LLC

NPI #1962847475 in Covington, Kentucky

Provider Information

NPI Number
1962847475
Entity Type
Organization
Organization Name
Nky Med, LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
May 10, 2013
Last Updated
May 10, 2013

Practice Location

Address
1717 MADISON AVE
ZIP Code
41011-3330
Phone
(859) 613-3722

Authorized Official

Name
MR. GARY DAVID GAVORNIK
Title
DIRECTOR OF DEVELOPMENT
Phone
(908) 619-0346

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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