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KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES PLLC NPI 1093125247


NPI Information

NPI: 1093125247
Provider Name: KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 18D2090939

Address:
9700 PARK PLAZA AVE
SUITE 108
LOUISVILLE, KY
ZIP 40241
Phone: (502) 339-2442
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KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC is a specialist in Louisville, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC NPI is 1093125247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9700 PARK PLAZA AVE
SUITE 108
LOUISVILLE, KY
ZIP 40241-236
Phone: (502) 339-2442

The provider's authorized official is Brian Briscoe .
The authorized official title is Member and has the following contact phone number (502) 339-2442.

The CLIA number assigned to this NPI record is 18D2090939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist43198KENTUCKYYes

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: 11/14/2023

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