Individual
KRISTEN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(503) 437-0624
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(503) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
Enumeration date
03/04/2014
Last updated
12/10/2018
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