Organization
GUYNN DEVELOPMENTAL INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GUYNN (DEVELOPMENTAL THERAPIST)
(270) 871-8640
Entity
Organization
Contact information
Practice address
1520 BUNTIN LN, MADISONVILLE, KY 42431-2219
(270) 871-8640
Mailing address
1520 BUNTIN LN, MADISONVILLE, KY 42431-2219
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
201135075
KY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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