Individual
KIMBERLY ANN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 RAYDALE DR, LOUISVILLE, KY 40219-5031
(502) 968-6600
Mailing address
6103 JESSAMINE LN, LOUISVILLE, KY 40258-2437
(502) 935-1352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01447
KY
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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