Individual
KACI O JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 MARKET ST, HENDERSON, KY 42420-4855
(270) 952-2072
Mailing address
1040 MARKET ST, HENDERSON, KY 42420-4855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12-014
KY
235Z00000X
Speech-Language Pathologist
4600267A
IN
Other
Enumeration date
02/29/2012
Last updated
04/07/2020
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