NPI 1528498318

Kvc Behavioral Health

Organisation Exclusive Provider Organization Lexington, KY

Practice location

Address: 900 Beasley St, Lexington, KY 40509-4266
Phone: (859) 254-1035

Authorised official

Name: Jessica Medley Mattingly
Title: Fpp Supervisor
Phone: (502) 321-7618

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1041C0700X (KY)

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Registry record

NPI: 1528498318
Entity type: Organization
NPI issued: 15 Nov 2013
Record last updated: 15 Nov 2013

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.