OrganizationActive
Department of Veterans Affairs
NPI 1326331083 · Primary Care Clinic/Center · Berea, KY
Provider details
- NPI number
- 1326331083
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lydia Gregory, Staff Nurse(859) 233-4511
- License
- 1096474 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
209 Pauline Dr
Berea, KY 40403-8889
Phone: (859) 233-4511
Fax: (859) 986-1289
Approximate (ZIP-level) locationGet directions
Mailing address
209 Pauline Dr
Berea, KY 40403-8889
Registry dates
- Enumerated
- 2011-05-27
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.