Organization
WESTERN KENTUCKY CENTRE FOR PSYCHIATRIC MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE E SUESS DO (PRESIDENT)
(270) 322-1122
Entity
Organization
Contact information
Practice address
7805 HANSON RD, HANSON, KY 42413-9524
(270) 322-1122
(270) 322-1155
Mailing address
7805 HANSON RD, HANSON, KY 42413-9524
(270) 322-1122
(270) 322-1155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942765
—
KY
Enumeration date
10/25/2006
Last updated
08/20/2014
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