Individual
KENNETH EDWARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3823
Mailing address
3511 BROOKVIEW DR, LEXINGTON, KY 40517-1405
(859) 684-2170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY3754
KY
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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