Individual
KYMBERLY FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
Mailing address
101 LIZ LN, GLASGOW, KY 42141-8031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27004019
—
KY
Enumeration date
10/23/2007
Last updated
10/26/2007
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