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General NPI Number Information
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NPI Number | 1366713000
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Entity Type | Organization
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Legal Business Name | KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 108 12TH ST
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City | CLAY CITY
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State | KY
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Zip | 40312-8979
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Country | US
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Telephone | 606-663-9011
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Fax | 606-663-9012
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Provider Business Mailing Address
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Address Line | 6021 ATWOOD DR
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City | RICHMOND
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State | KY
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Zip | 40475-8320
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Country | US
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Telephone | 859-624-2046
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Fax | 859-624-2049
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DAVID ESTEPP
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Credential |
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Telephone | 606-624-2046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 700260
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License Number State | KY
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