Organization
KIPER DEVELOPMENTAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MARX KIPER (DEVELOPMENTAL INTERVENTIONIST)
(812) 430-3122
Entity
Organization
Contact information
Practice address
215 WILDWOOD DR, OWENSBORO, KY 42303-6147
(812) 430-3122
(270) 640-0188
Mailing address
215 WILDWOOD DR, OWENSBORO, KY 42303-6147
(812) 430-3122
(270) 640-0188
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
201112352
KY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
09/16/2016
Last updated
10/25/2019
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