Organization
NORTHERN KENTUCKY INDEPENDENT DISTRICT HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J LANDERS (SUPPORT SERVICES MANAGER)
(859) 363-2040
Entity
Organization
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-4264
Mailing address
610 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3416
(859) 341-4264
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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