# NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UK North Fork Valley Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164594511
- **Authorized official:** DR. JOE EAGLE KINGERY D.O. (CEO)
- **Authorized official phone:** (606) 439-1559

## Contact information

- **Practice address:** 750 MORTON BLVD, HAZARD, KY 41701-9469
- **Practice address phone:** (606) 439-1559
- **Mailing address:** 750 MORTON BLVD, HAZARD, KY 41701-9469
- **Mailing address phone:** (606) 439-1559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 01/13/2016