NPI | 1326486473 |
---|---|
Doing Business As | KENTUCKYCARE 43 |
Entity Type | Organization |
Authorized Contact | STEVEN COLLIER CEO 870-347-2534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2021-01-20 |