Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Commonwealth of Kentucky

Organization Psychiatry Physician · NPI 1134124167

Commonwealth of Kentucky is a Psychiatry Physician in Hopkinsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
4

Practice location Address checks out

2400 Russellville Rd US 68 E
Hopkinsville, KY 42241
Phone: (502) 886-4431
Fax: (270) 886-4487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (KY)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 100490 (KY)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X (KY)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X (KY)

Record details

NPI number1134124167
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Western State Nursing Facility
NPI enumeratedJune 16, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing addressPo Box 2200, 2400 Russellville Road, Us 68 East, Hopkinsville, KY 42241

Other providers in Hopkinsville