# KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093125247
- **Authorized official:** DR. BRIAN BRISCOE M.D. (MEMBER)
- **Authorized official phone:** (502) 339-2442

## Contact information

- **Practice address:** 9700 PARK PLAZA AVE, SUITE 108, LOUISVILLE, KY 40241-2236
- **Practice address phone:** (502) 339-2442
- **Mailing address:** 9700 PARK PLAZA AVE, SUITE 108, LOUISVILLE, KY 40241-2236
- **Mailing address phone:** (502) 339-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 43198 | KY | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014