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

Commonwealth of Kentucky

Organization Psychiatry Physician · NPI 1598056210

Commonwealth of Kentucky is a Psychiatry Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

10510 Lagrange Rd
Louisville, KY 40223
Phone: (502) 253-7000
Fax: (503) 253-7090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (KY)
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1598056210
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Central State Hospital Physicians
NPI enumeratedApril 28, 2011
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address10510 Lagrange Road, Louisville, KY 40223

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