KELVIN POORE
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1346808615- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY, 410517906
- Phone
- (859) 359-5404
- Fax
- (859) 359-0739
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: IN