Individual
KENNEDY S FRASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3884 DRIPPING SPRINGS RD, GLASGOW, KY 42141-9715
(270) 590-5254
Mailing address
3884 DRIPPING SPRINGS RD, GLASGOW, KY 42141-9715
(270) 590-5254
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
KY
Other
Enumeration date
03/13/2023
Last updated
08/04/2023
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