# KING INTERVENTIONAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023456316
- **Authorized official:** LORA KAY GIPSON-KING (OWNER)
- **Authorized official phone:** (606) 831-6972

## Contact information

- **Practice address:** 5018 MONT ST, CATLETTSBURG, KY 41129-8011
- **Practice address phone:** (606) 831-6972
- **Mailing address:** 5018 MONT ST, CATLETTSBURG, KY 41129-8011
- **Mailing address phone:** (606) 831-6972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 002254 | KY | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 04/07/2020