NPI 1508861683
Commonwealth of Kentucky
Practice location
- Address
- 2400 Russellville Rd, Hopkinsville, KY 42240-8095
- Phone
- (270) 889-6025
- Fax
- (270) 886-4487
- Mailing address
- 2440 Russellville Road, Hopkinsville, KY 42240
Authorised official
- Name
- Jennifer Moore
- Title
- Assistant Director
- Phone
- (502) 782-6117
Registered specialties (3)
Psychiatric Hospital
Primary
Psychiatry Physician
Psychiatric Hospital
Registry record
- NPI
- 1508861683
- Entity type
- Organization
- NPI issued
- 16 Jun 2005
- Record last updated
- 7 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.