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NPI Provider: 1518962356
Contact Name: Proctor W. Sharon
Position: Associate Superintendent
Phone: (502) 222-7163
Kentucky Correctional Psychiatric Center Information:
Kentucky Correctional Psychiatric Center organization have npi 1518962356, taxonomy code is 283X00000X with license number is 100528 in . This Business address located in 1612 Dawkins Rd, La Grange, KY 40031 Kentucky. Get directions of Kentucky Correctional Psychiatric Center.
Practice Location
Address: 1612 Dawkins Rd, La Grange, KY 40031
Phone: (502) 222-7161
Business Location
Address: 1612 Dawkins Rd, La Grange, KY 40031
Phone: (502) 222-7161
Fax: (502) 222-7798
Taxonomy
Taxonomy Code: 283X00000X
License Number: 100528
License Number of State: KY
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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