Organization
SUMMIT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JOHN SIDERS (MEMBER OWNER)
(859) 229-0085
Entity
Organization
Contact information
Practice address
3150 CUSTER DR, 201, LEXINGTON, KY 40517-4010
(859) 229-0085
Mailing address
3150 CUSTER DR, 201, LEXINGTON, KY 40517-4010
(859) 229-0085
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
09/26/2016
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