Organization
NORTHERN KENTUCKY PSYCHIATRY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUSTINA A. BALUYOT M.D. (PRESIDENT)
(859) 331-7234
Entity
Organization
Contact information
Practice address
2380 GRANDVIEW DR, FT MITCHELL, KY 41017-1633
(859) 331-7234
(859) 578-7986
Mailing address
2380 GRANDVIEW DR, FT MITCHELL, KY 41017-1633
(859) 331-7234
(859) 578-7986
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079122000
MAGELLAN
KY
01
—
5796
ANTHEM
KY
05
—
65930505
—
KY
05
—
7100199660
—
KY
Enumeration date
05/09/2006
Last updated
12/04/2014
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