Organization
KENTUCKY POST-ACUTE MEDICAL SERVICES 1 PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L DABBS MD (PRESIDENT)
(865) 293-5210
Entity
Organization
Contact information
Practice address
55 FOUNDATION DR, FLEMINGSBURG, KY 41041-9815
(606) 849-5000
Mailing address
PO BOX 639287, CINCINNATI, OH 45263-9287
(800) 424-3672
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/05/2017
Last updated
08/24/2022
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