| Commonwealth Psychiatry, Pllc | |
|
412 S 4th St Ste A Danville KY 40422-2007 | |
| (859) 236-0840 | |
| (859) 236-0841 |
| Full Name | Commonwealth Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 412 S 4th St Ste A, Danville, Kentucky |
| Authorized Official Name and Position | Melissa Kay Conner (OWNER) |
| Authorized Official Contact | 8592360840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Psychiatry, Pllc 412 S 4th St Ste A Danville KY 40422-2007 Ph: (859) 236-0840 | Commonwealth Psychiatry, Pllc 412 S 4th St Ste A Danville KY 40422-2007 Ph: (859) 236-0840 |
| NPI Number | 1740604446 |
|---|---|
| Provider Enumeration Date | 02/15/2014 |
| Last Update Date | 02/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740604446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34511 (Kentucky) | Primary |
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