Organization
INTYRE MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY MCINTYRE APRN, PMHNP (OWNER)
(859) 576-6249
Entity
Organization
Contact information
Practice address
104 MOUNDVIEW CT, NICHOLASVILLE, KY 40356-2645
(859) 576-6249
Mailing address
104 MOUNDVIEW CT, NICHOLASVILLE, KY 40356-2645
(859) 576-6249
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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