WISDOM KEY BEHAVIORAL HEALTH SERVICES INC NPI 1114263100

NPI Information

NPI: 1114263100
Provider Name: WISDOM KEY BEHAVIORAL HEALTH SERVICES INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1239 WOODLAND DR
SUITE 110
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 900-0094
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WISDOM KEY BEHAVIORAL HEALTH SERVICES INC is a psychiatric/mental health nurse practitioner in Elizabethtown, KY. WISDOM KEY BEHAVIORAL HEALTH SERVICES INC NPI is 1114263100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1239 WOODLAND DR
SUITE 110
ELIZABETHTOWN, KY
ZIP 42701-770
Phone: (270) 900-0094
Fax: (270) 900-0430

The provider's authorized official is Nancy Williams .
The authorized official title is Manager and has the following contact phone number (270) 900-0094.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 2/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3006237	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K085600	OTHER	KENTUCKY	MEDICARE PTAN
2	PENDING	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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