Wisdom Key Behavioral Health Services INC
Nurse Practitioner, Psych/Mental Health in Elizabethtown, KY. Organization (NPI-2).
Details
- NPI
- 1114263100
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisdom Key Behavioral Health Services INC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2012
- Last updated
- Feb 28, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 3006237 | KY | Yes |
Practice location
1239 Woodland DrSuite 110
Elizabethtown, KY 42701-2770
Phone 270-900-0094 · Fax 270-900-0430
Mailing address
56 Dawson RdRadcliff, KY 40160-9755
Phone 270-900-0094 · Fax 270-900-0430
Authorized official
Nancy Williams
Manager
2709000094
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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