COMMONWEALTH OF KENTUCKY

LEXINGTON, KY
NPI1750552857
Doing Business AsEASTERN STATE HOSPITAL
Entity TypeOrganization
Authorized ContactJENNIFER MOORE
Assistant Director
502-782-6117
Organization Subpart ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
2084P0800X Psychiatry & Neurology, Psychiatry
208D00000X General Practice
363A00000X Physician Assistant
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2008-03-17
Last Update Date2024-10-30
Business Address
COMMONWEALTH OF KENTUCKY
1350 BULL LEA RD
LEXINGTON, KY 40511-1247
Phone number: 859-246-8000
Mailing Address
COMMONWEALTH OF KENTUCKY
1350 BULL LEA RD
LEXINGTON, KY 40511-1247
Phone number: 859-246-8000