Organization Name: | NORTHERN KENTUCKY PSYCHIATRY ASSOC |
NPI Number: | 1437108099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AGUSTINA A. BALUYOT (PRESIDENT) |
Mailing Address: | 2380 Grandview Dr Ft Mitchell |
State: | KY US |
Postal Code: | 410171633 |
Phone Number: | 8593317234 |
Fax Number: | 8595787986 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |