| NPI | 1285103937 |
|---|---|
| Doing Business As | KENTUCKIANA CENTER FOR ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRUCE MELVIN COHEN Member 502-551-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2021-04-20 |