Organization
THREE RIVERS DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILBURN (INFORMATICS MANAGER)
(502) 484-3412
Entity
Organization
Contact information
Practice address
60 OLD MONTEREY RD, OWENTON, KY 40359-9030
(502) 484-3412
Mailing address
60 OLD MONTEREY RD, OWENTON, KY 40359-9030
(502) 484-3412
(502) 484-0864
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20021010
—
KY
05
—
20039012
—
KY
05
—
20094017
—
KY
05
—
20096012
—
KY
Enumeration date
02/29/2016
Last updated
07/26/2023
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