Individual
MRS. DONNA CAROL EVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAE, DI
Contact information
Practice address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5749
(270) 746-0729
Mailing address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, BOWLING GREEN, KY 42103-7956
(270) 901-5749
(270) 746-0729
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200180931
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01526
FIRST STEPS PROVIDER NUMB
KY
Enumeration date
05/14/2007
Last updated
07/21/2022
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