Organization
PENNYRILE DISTRICT HEALTH DEPARTMENT
Active
Other names
North Livingston Co Cardinal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M TOLLEY (PUBLIC HEALTH DIRECTOR)
(270) 388-9747
Entity
Organization
Contact information
Practice address
1370 US HIGHWAY 60 E, BURNA, KY 42028-9239
(270) 988-2394
(270) 988-2394
Mailing address
PO BOX 770, EDDYVILLE, KY 42038-0770
(270) 388-9747
(270) 388-7749
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100003650
—
KY
Enumeration date
10/24/2007
Last updated
10/24/2007
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