# KENTUCKY FAMILY PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1154076941
- **Authorized official:** ANGELA CAIN APRN (OWNER/PROVIDER)
- **Authorized official phone:** (606) 770-5454

## Contact information

- **Practice address:** 1374 HIGHWAY 192 E STE 400, LONDON, KY 40741-3123
- **Practice address phone:** (606) 770-5454
- **Practice address fax:** (606) 770-5455
- **Mailing address:** PO BOX 3261, LONDON, KY 40743-3261
- **Mailing address phone:** (606) 770-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2022
- **Last updated:** 03/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100527870 | — | KY |