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Commonwealth of Kentucky

Psychiatry Physician in Hopkinsville, KY · enumerated 2005 · authorized official Jennifer Moore, Assistant Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134124167

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Registry record

Entity type Organization (Type 2)
Legal business name Commonwealth of Kentucky
Other name <Unavail>
Parent organization Commonwealth of Kentucky
Practice address 2400 Russellville Rd, Us 68 East, Hopkinsville, KY, 42241
Phone (502) 886-4431
Fax (270) 886-4487
Enumeration date Jun 16, 2005
Last updated in NPPES Aug 7, 2024

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 100490 (KY) Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Secondary

Authorized official

Name Jennifer Moore
Title Assistant Director
Phone (502) 782-6117

Other identifiers

Identifier Type State Issuer
12400024 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-07. Verify at npiregistry.cms.hhs.gov.
Where is Commonwealth of Kentucky located?
The practice location on file with NPPES is in Hopkinsville, KY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-07.