Organization
KVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CRONEY (PRESIDENT)
(859) 254-1035
Entity
Organization
Contact information
Practice address
101 BULLDOG LN, HAZARD, KY 41701-6081
(606) 216-7326
Mailing address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1041C0700X
KY
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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