Individual
KRISTIN LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 W RAMSEY ST, DAWSON SPRINGS, KY 42408-1739
(270) 797-8132
Mailing address
209 BLISS AVE, LOUISVILLE, KY 40243-1005
(502) 821-5747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
138626
KY
235Z00000X
Speech-Language Pathologist
KY-3875
KY
Other
Enumeration date
02/02/2013
Last updated
04/29/2020
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