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Western Ky Medical, Llc
Methadone Clinic in Hopkinsville, Kentucky
NPI 1619395605

Western Ky Medical, Llc is a Methadone Clinic based in Mount Laurel, KY and is specialized in Methadone. Western Ky Medical, Llc practices in Hopkinsville, KY. The NPI Number for Western Ky Medical, Llc is 1619395605 and holds a License No. 810381 (Kentucky).

The current practice location address for Western Ky Medical, Llc is 609 Hammond Plz, Hopkinsville, KY and can be reached out via phone at 270-887-8333.

Location: 609 Hammond Plz, Hopkinsville, KY, 08054-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619395605
Provider Name
Western Ky Medical, Llc
Credential
Provider Entity Type
Organization
Address
609 Hammond Plz, Hopkinsville, KY, 08054-2202
Phone Number
270-887-8333
Fax Number
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810381 01 KY STATE LICNESE
institution
Provider Business Practice Location Address Details
Address
609 Hammond Plz
City
Hopkinsville
State
Kentucky
Zip
42240-4971
Phone Number
270-887-8333
Fax Number
person
Provider Business Mailing Address Details
Address
609 Hammond Plz
City
Hopkinsville
State
Kentucky
Zip
42240-4971
Phone Number
270-887-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
810381 (Kentucky)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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