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Organization

INNER PATHWAYS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. K L MARTIN (MEMBER INNER PATHWAYS PLLC)
(859) 342-6552
Entity
Organization

Contact information

Practice address
29 ERLANGER ROAD, ERLANGER, KY 41018
(859) 342-6552
(859) 342-6554
Mailing address
29 ERLANGER ROAD, ERLANGER, KY 41018
(859) 342-6552
(859) 342-6554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50510000
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78901204
KY
Enumeration date
12/04/2006
Last updated
08/22/2020
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