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 1508861683

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
3

Practice location Address checks out

2400 Russellville Rd
Hopkinsville, KY 42240-8095
Phone: (270) 889-6025
Fax: (270) 886-4487
Show map & directions

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

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X (KY)
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric Hospital Taxonomy 283Q00000X · Licence 100072 (KY)

Record details

NPI number1508861683
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Western State Hospital; Western State Hospital
NPI enumeratedJune 16, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address2440 Russellville Road, Hopkinsville, KY 42240

Other providers in Hopkinsville