Organization
ESTILL COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH B WALLING (DIRECTOR)
(606) 723-5181
Entity
Organization
Contact information
Practice address
365 RIVER DR, IRVINE, KY 40336-1284
(606) 723-5181
(606) 723-5254
Mailing address
365 RIVER DRIVE, PO BOX 115, IRVINE, KY 40336-0115
(606) 723-5181
(606) 723-5254
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
KY
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15000250
HANDS PROVIDER #
KY
05
—
20033015
—
KY
01
—
SHARONT
MEDICARE FLU
KY
Enumeration date
10/02/2006
Last updated
04/16/2021
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