Organization
NORTHERN KENTUCKY INDEPENDENT DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A MOORE II (INTERIM DISTRICT DIRECTOR OF HEALTH)
(859) 363-2059
Entity
Organization
Contact information
Practice address
2388 GRANDVIEW AVE, COVINGTON, KY 41017-1633
(859) 578-7660
(859) 578-7665
Mailing address
610 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3416
(859) 341-4264
(859) 578-3689
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901294
—
KY
Enumeration date
06/22/2007
Last updated
08/22/2020
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