Individual
KIMBERLY ANN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1222 WOODLAND DR, ELIZABETHTOWN, KY 42701-2710
(270) 234-1569
Mailing address
112 FAIRWAY DR, HODGENVILLE, KY 42748-9772
(270) 735-1159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002175
KY
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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