Individual
KRISTIN CAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW: QIDP/QDDP
Contact information
Practice address
3113 KLONWAY DR, LOUISVILLE, KY 40220-2704
(502) 417-1995
Mailing address
3113 KLONWAY DR, LOUISVILLE, KY 40220-2704
(502) 417-1995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251B00000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083062608
—
KY
Enumeration date
08/01/2016
Last updated
08/01/2016
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