Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Active
Other names
Wayne County High School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN D CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
2 KENNY DAVIS BLVD, MONTICELLO, KY 42633-9479
(606) 378-5575
(606) 348-3458
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001061
—
KY
Enumeration date
02/20/2007
Last updated
08/22/2020
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