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Psychiatry & Neurology, Neurology

COMMONWEALTH OF KENTUCKY

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1750552857 · enumerated 2008-03-17 · record updated 2024-10-30. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: JENNIFER MOORE, Assistant Director · (502) 782-6117

Other names: EASTERN STATE HOSPITAL

Addresses and phones

Specialties

  • Psychiatry & Neurology, Neurology 2084N0400X
  • Psychiatry & Neurology, Neurology 2084N0400X · Primary
  • Psychiatry & Neurology, Psychiatry 2084P0800X
  • General Practice 208D00000X
  • Physician Assistant 363A00000X
  • Nurse Practitioner, Psych/Mental Health 363LP0808X

In this directory

Locations and evidence

  • Practice location LEXINGTON, KY, 405111247
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.