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Individual

TAYLOR KIMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1351 NEWTOWN PIKE, BUILDING 4, LEXINGTON, KY 40511-1275
(859) 233-0444
Mailing address
218 JEAN ST, 3, LAWRENCEBURG, KY 40342-1546
(606) 477-3803

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
11/04/2016
Last updated
11/14/2016
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