Individual
DR. DEBRA LAVONNE KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9942
(502) 624-0252
Mailing address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9942
(502) 624-0252
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11-09
KY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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