Organization
CLARK COUNTY HEALTH DEPARTMENT
Active
Other names
George Rogers Clark High School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY S LOCKARD (DIRECTOR)
(859) 744-4482
Entity
Organization
Contact information
Practice address
620 BOONE AVE, WINCHESTER, KY 40391-2378
(859) 744-6111
(859) 744-0338
Mailing address
400 PROFESSIONAL AVENUE, WINCHESTER, KY 40391-1147
(859) 744-4482
(859) 744-0338
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100119300
—
KY
Enumeration date
05/25/2010
Last updated
09/22/2011
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