Individual
DERIK STEVEN PHILPOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSS
Contact information
Practice address
318 W DIXIE ST, LONDON, KY 40741-1939
(606) 595-2186
Mailing address
241 MOORES CREEK RD, FOURMILE, KY 40939-6201
(606) 595-2186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
KY
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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