Organization
KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON W. PROCTOR RHIA (ASSOCIATE SUPERINTENDENT)
(502) 222-7163
Entity
Organization
Contact information
Practice address
1612 DAWKINS RD, LA GRANGE, KY 40031-8729
(502) 222-7161
(502) 222-7798
Mailing address
1612 DAWKINS RD, LA GRANGE, KY 40031-8729
(502) 222-7161
(502) 222-7798
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
100528
KY
Other
Enumeration date
06/17/2005
Last updated
08/22/2020
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