Organization
NORTHERN KENTUKY INDEPENDENT DIST HEALTH DEPARTMENT
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
741 CENTRAL AVE, NEWPORT, KY 41071-1222
(859) 491-8303
Mailing address
610 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3416
(859) 341-4264
(859) 578-3689
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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