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General NPI Number Information
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NPI Number | 1831487784
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Entity Type | Organization
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Legal Business Name | KENTUCKIANA MENTAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 105 CRESCENT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1525
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Country | US
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Telephone | 502-895-4470
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Fax | 502-895-2030
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Provider Business Mailing Address
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Address Line | 105 CRESCENT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1525
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Country | US
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Telephone | 502-895-4470
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Fax | 502-895-2030
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. PETER MICHAEL STEINER
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Credential | M.D.
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Telephone | 502-895-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 32156
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License Number State | KY
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