Organization
PENNYRILE DISTRICT LHEALTH DEPARTMENT
Active
Other names
Caldwell Co Tiger Pride Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON L BESHEAR (PUBLIC HEALTH DIRECTOR)
(270) 388-9747
Entity
Organization
Contact information
Practice address
1000 MARION RD, PRINCETON, KY 42445-6210
(270) 388-9747
(270) 388-7749
Mailing address
PO BOX 770, EDDYVILLE, KY 42038-0770
(270) 388-9747
(270) 388-7749
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100044740
—
KY
Enumeration date
06/23/2008
Last updated
04/14/2014
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