| NPI | 1477263549 |
|---|---|
| Doing Business As | KENTUCKYCARE39 |
| Entity Type | Organization |
| Authorized Contact | STEVEN COLLIER CEO 870-347-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |