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502 Farrell Dr Covington KY 41011-3717 | |
| (859) 331-3292 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 502 Farrell Dr, Covington, Kentucky |
| Authorized Official Name and Position | Owen T Nichols (CEO) |
| Authorized Official Contact | 8595783200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
503 Farrell Dr Covington KY 41011-3775 Ph: (859) 578-3200 | 502 Farrell Dr Covington KY 41011-3717 Ph: (859) 331-3292 |
| NPI Number | 1235717778 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235717778 | NPI | - | NPPES |
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