Individual
KAITILEE FLEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
Mailing address
2250 THUNDERSTICK DRIVE, 1104, LEXINGTON, KY 40505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7204
KY
Other
Enumeration date
10/08/2015
Last updated
08/23/2017
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