Individual
KRISTY LOVE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 GLEN LAWSON RD, EZEL, KY 41425-8953
(606) 725-4089
Mailing address
51 GLEN LAWSON RD, EZEL, KY 41425-8953
(606) 725-4089
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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