Organization
INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CAUDILL (PRESIDENT)
(615) 521-9097
Entity
Organization
Contact information
Practice address
1894 CEDAR ST, MC KENZIE, TN 38201-2206
(731) 352-0603
Mailing address
1105 16TH AVE S STE C, NASHVILLE, TN 37212-2327
(615) 521-9097
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/10/2020
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