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Organization
KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC
Active
Organization
KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BRISCOE M.D. (MEMBER)
(502) 339-2442
Entity
Organization
Contact information
Practice address
9700 PARK PLAZA AVE, SUITE 108, LOUISVILLE, KY 40241-2236
(502) 339-2442
Mailing address
9700 PARK PLAZA AVE, SUITE 108, LOUISVILLE, KY 40241-2236
(502) 339-2442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43198
KY
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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