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General NPI Number Information
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NPI Number | 1003608654
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Entity Type | Organization
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Legal Business Name | KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 45 CENTER ST.
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City | BEATTYVILLE
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State | KY
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Zip | 41311
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Country | US
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Telephone | 606-464-2492
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Fax | 606-464-5050
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Provider Business Mailing Address
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Address Line | 441 GORMAN HOLLOW RD.
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City | HAZARD
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State | KY
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Zip | 41701
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Country | US
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Telephone | 606-439-2361
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Fax | 606-439-0870
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANTHONY SCOTT LOCKARD
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Credential | MSW, CSW
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Telephone | 606-439-2361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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