Organization
HANDSROWAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization
Contact information
Practice address
730 W. MAIN ST., MOREHEAD, KY 40351
(606) 784-8954
(606) 784-1443
Mailing address
PO BOX 555, OWINGSVILLE, KY 40360
(606) 674-6396
(606) 674-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15000045
—
KY
Enumeration date
04/14/2011
Last updated
09/07/2011
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