Individual
DR. PATRICK MICHAEL MCKIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
422 HEYWOOD AVE, LOUISVILLE, KY 40208-1346
(502) 439-9210
(502) 635-2297
Mailing address
422 HEYWOOD AVE, LOUISVILLE, KY 40208-1346
(502) 439-9210
(502) 635-2297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0062
KY
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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