SearchKentucky252Y00000X

Brenda King, 01/01/2011

NPI 1659620425 · on the registry since 2012 · sole proprietor

Practice

Address
301 Elmhurst Ave
Vine Grove, KY 40175
Phone
(270) 317-0669

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-07

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