Individual
JESSICA MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
740 S LIMESTONE ST STE C300, LEXINGTON, KY 40536-1688
(859) 257-3390
(859) 323-5483
Mailing address
157 CORLEY MILL RD, LEXINGTON, SC 29072-7600
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
260484
KY
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260484
KY AUD LICENSE
KY
Enumeration date
07/09/2018
Last updated
09/20/2023
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