# COMMONWEALTH OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ESH APRN Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326599895
- **Authorized official:** CARRIE RUDZIK (CAO)
- **Authorized official phone:** (859) 246-8204

## Contact information

- **Practice address:** 1350 BULL LEA RD, LEXINGTON, KY 40511-1247
- **Practice address phone:** (859) 246-8000
- **Practice address fax:** (859) 246-8043
- **Mailing address:** 1350 BULL LEA RD, LEXINGTON, KY 40511-1247
- **Mailing address phone:** (859) 246-8000
- **Mailing address fax:** (859) 246-8043

## 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:** 10/20/2016
- **Last updated:** 10/20/2016