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NPI Code Detail

MEDICARE: KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT

MEDICARE: KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1891919692
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 441 GORMAN HOLLOW RD
Second Line :
City : HAZARD
State : KY
Zip : 41701-2315
Country : US
Telephone Number : 606-439-2361
Fax Number : 606-439-0870
Provider Business Practice Location Address
First Line : 315 PARK AVE
Second Line :
City : HAZARD
State : KY
Zip : 41701-9548
Country : US
Telephone Number : 606-439-5813
Fax Number : 606-439-0870
Authorized Official
Title or Position : DISTRICT DIRECTOR
Name : KAREN COOPER
Credential :
Telephone Number : 606-439-2361
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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Directions to “KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT ” Practice Location

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