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 1508861683

Commonwealth of Kentucky provides Psychiatry Physician services in Hopkinsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

2400 Russellville Rd
Hopkinsville, KY 42240-8095
Phone: (270) 889-6025
Fax: (270) 886-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X (KY)
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric Hospital Taxonomy 283Q00000X · Licence 100072 (KY)

Record details

NPI number1508861683
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Western State Hospital; Western State Hospital
NPI enumeratedJune 16, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address2440 Russellville Road, Hopkinsville, KY 42240

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