Individual
NICOLE ASHLEY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
115 KIANA CT, PADUCAH, KY 42001-6787
(270) 705-1445
Mailing address
115 KIANA CT, PADUCAH, KY 42001-6787
(270) 534-1200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
265466
KY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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