Individual
JACINDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 DOCTORS DR, FRANKFORT, KY 40601-4101
(502) 223-2182
Mailing address
191 DOCTORS DR, FRANKFORT, KY 40601-4101
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6546
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
11/19/2009
Last updated
08/12/2014
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