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Organization

WEST LIBERTY ELEMENTARY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY D BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization

Contact information

Practice address
ROUTE 5, WEST LIBERTY, KY 41472
(606) 743-8426
Mailing address
PO BOX 555, OWINGSVILLE, KY 40360
(606) 674-6396
(606) 674-3071

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588668339
DR. ESKEW
KY
01
1811246143
JESSICA LYKINS, APRN
KY
05
20088043
KY
Enumeration date
03/12/2007
Last updated
01/22/2014
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