Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Corporate Health |
261QC1800X | |||
Mental Health |
101YM0800X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1851618607 |
| LBN Legal business name | INDUSTRIAL WELLNESS SERVICES OF KENTUCKY, PLLC |
| Authorized official | DUSTIN HAMLIN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/03/2010 |
| Last updated | 03/21/2025 - More than a year ago |
| Identifiers | n/a |
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