Individual
MS. KIM RENEE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 WATER ST, OWINGSVILLE, KY 40360-8944
(606) 674-9776
(606) 674-9708
Mailing address
44 WATER ST, OWINGSVILLE, KY 40360-8944
(606) 674-9776
(606) 674-9708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100331190
—
KY
Enumeration date
03/17/2014
Last updated
06/24/2016
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