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Organization
KENTUCKY FAMILY PSYCHIATRY, PLLC
Active
Organization
KENTUCKY FAMILY PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CAIN APRN (OWNER/PROVIDER)
(606) 770-5454
Entity
Organization
Contact information
Practice address
1374 HIGHWAY 192 E STE 400, LONDON, KY 40741-3123
(606) 770-5454
(606) 770-5455
Mailing address
PO BOX 3261, LONDON, KY 40743-3261
(606) 770-5454
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100527870
—
KY
Enumeration date
02/20/2022
Last updated
03/04/2022
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