COMMONWEALTH OF KENTUCKY
Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1134124167- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2400 RUSSELLVILLE RD US 68 EAST, HOPKINSVILLE, KY, 42241
- Phone
- (502) 886-4431
- Fax
- (270) 886-4487
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: KY
Nursing Facility/Intermediate Care Facility
License: KY #100490
Nursing Facility/Intermediate Care Facility
License: KY
Intermediate Care Facility, Intellectual Disabilities
License: KY