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Individual
KIMBERLY J BIVENS
Active
Individual
KIMBERLY J BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-2012
KY
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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