Organization
LAKE CUMBERLAND DISTRICT HEATLH DEPT
Active
Other names
Whitley City Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN D. CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
2819 N HIGHWAY 27, WHITLEY CITY, KY 42653-4045
(606) 376-2690
(606) 376-4150
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20074050
—
KY
Enumeration date
02/20/2007
Last updated
08/22/2020
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