Organization
LAUREL COUNTY HEALTH DEPARTMENT
Active
Other names
South Laurel Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HENSLEY (DIRECTOR)
(606) 878-7754
Entity
Organization
Contact information
Practice address
525 WHITLEY ST, LONDON, KY 40741-2626
(606) 878-7754
(606) 864-8295
Mailing address
525 WHITLEY ST, LONDON, KY 40741-2626
(606) 878-7754
(606) 864-8295
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
261QP0905X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20000295
—
KY
Enumeration date
05/05/2008
Last updated
05/05/2008
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