Healthcare Provider Details

I. General information

NPI: 1841279619
Provider Name (Legal Business Name): WEDCO DISTRICT HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 ODDVILLE AVE
CYNTHIANA KY
41031-9472
US

IV. Provider business mailing address

302 ODDVILLE AVE P O BOX 218
CYNTHIANA KY
41031-1241
US

V. Phone/Fax

Practice location:
  • Phone: 859-234-2842
  • Fax: 859-234-0393
Mailing address:
  • Phone: 859-234-8750
  • Fax: 859-234-8925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateKY

VIII. Authorized Official

Name: MS. CRYSTAL CAUDILL
Title or Position: PUBLIC HEALTH DIRECTOR
Credential:
Phone: 859-234-8750