Individual
MS. KIMBERLY DAWN LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2230 GRANDVIEW DR, FORT MITCHELL, KY 41017-1643
(859) 628-7167
(859) 628-7167
Mailing address
2230 GRANDVIEW DR, FORT MITCHELL, KY 41017-1643
(859) 628-7167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107740
KY
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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