Search › Kentucky › 104100000X
Kevin Fackler, TSW
NPI 1275242869 · on the registry since 2022
Practice
- Address
- 4922 Lagoona Dr
Louisville, KY 40219 - Phone
- (502) 396-2358
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky