Organization · Type 2 NPI

Revive Ministries Inc

Addiction Medicine (Psychiatry & Neurology) Physician · Nicholasville, KY

NPI number 1932979754 Active

Practice location

104 S 2nd St
Nicholasville, KY 40356-1553

Mailing address

800 S Main St Ste C
Nicholasville, KY 40356-1868

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1932979754

Revive Ministries Inc's National Provider Identifier is 1932979754, issued on Jan 3, 2024. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Nicholasville, KY. The record was last updated on Jan 3, 2024.