Individual
KIMBERLEY A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6 CREEKVIEW CT, SHEPHERDSVILLE, KY 40165-8945
(502) 939-8564
Mailing address
6 CREEKVIEW CT, SHEPHERDSVILLE, KY 40165-8945
(502) 939-8564
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
006920
KY
225100000X
Physical Therapist
Primary
006920
KY
Other
Enumeration date
09/02/2016
Last updated
07/11/2022
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