Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Active
Other names
Pine Knot Primary 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
119 E HIGHWAY 92, PINE KNOT, KY 42635-9159
(606) 354-2161
(606) 354-4418
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
Enumeration date
02/19/2007
Last updated
01/19/2011
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