Northern Kentucky Mhmr Regional Board

NPI 1013119957 - Clinic/Center - 261QM0801X

NPI Details
NPI 1013119957
Enumeration Date 06/04/2007
Last Updated 03/04/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OWEN T OWEN
Position CEO
Phone (859) 578-3200
Fax
Practice Location
503 FARRELL DRIVE
COVINGTON KY, 41011, US
Phone (859) 578-3200
Fax
Business Location
502 FARRELL DRIVE
C/O DEANA SPICER
COVINGTON KY, 41011, US
Phone (859) 578-3200
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Kentucky
License Number 800084
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According to our database, Northern Kentucky Mhmr Regional Board NPI is 1013119957, taxonomy code is 261QM0801X and license number is 800084, license state is located at Kentucky. Northern Kentucky Mhmr Regional Board physically located at 503 Farrell Drive, Covington KY, 41011. NPI Number 1033115704 has the healthcare provider type.

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1013119957 NPI number is provided on an as is basis without warranty of any kind. 1013119957 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Kentucky Mhmr Regional Board are for informational purposes only.