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Organization

LAUREL COUNTY HEALTH DEPARTMENT

Active
Parent organization
LAUREL COUNTY HEALTH DEPARTMENT
Other names
Laurel County Health Department #2
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAUREL COUNTY HEALTH DEPARTMENT
Authorized official
STEPHANIE MARTIN (ADMINISTRATIVE SPECIALIST)
(606) 864-5244
Entity
Organization

Contact information

Practice address
525 WHITLEY ST, LONDON, KY 40741-2626
(606) 864-5187
(606) 864-8295
Mailing address
525 WHITLEY ST, LONDON, KY 40741-2626
(606) 864-5187
(606) 864-8295

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
KY
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
KY
363LW0102X
Women's Health Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20063012
KY
Enumeration date
05/14/2018
Last updated
06/16/2018
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