Individual
MR. KENNETH T EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3430 NEWBURG RD, SUITE 212, LOUISVILLE, KY 40218-2497
(502) 454-8800
(502) 736-0140
Mailing address
3430 NEWBURG RD, STE 210, LOUISVILLE, KY 40218-2458
(502) 454-8800
(502) 736-0140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0652
KY
Other
Enumeration date
10/04/2006
Last updated
08/23/2017
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