NPI | 1023991692 |
---|---|
Doing Business As | KENTUCKYCARE 161 |
Entity Type | Organization |
Authorized Contact | STEVEN A COLLIER CEO 870-347-2534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-08-22 |