Unknown Individual – Psychiatry Physician, NPI 1649371469
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
107, North Mantle Avenue, Elizabethtown, Hardin County, Kentucky, 42701, United States
ELIZABETHTOWN, KY 42701
Phone: (270) 765-2503
Fax: (270) 765-2870
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42701)
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