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Individual

SAMANTHA GAIL KIERNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1671 BEAVER DAM CHAPEL RD, SMITHS GROVE, KY 42171-8827
(270) 784-4438
Mailing address
PO BOX 383, BROWNSVILLE, KY 42210-0383
(270) 784-2379

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
106128
KY

Other

Enumeration date
02/26/2021
Last updated
02/26/2021
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