Individual
MS. BRENDA KAY HIBBERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5049
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5049
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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