Individual
JODY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 CLIFTY ST, SOMERSET, KY 42503-1715
(877) 848-9810
Mailing address
236 HIGHWAY 490, EAST BERNSTADT, KY 40729-6114
(606) 224-4871
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4045556
KY
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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