Individual
KAITLYN MCQUEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 SECOND ST, SOMERSET, KY 42501-2390
(606) 677-1166
Mailing address
PO BOX 407, RUSSELL SPRINGS, KY 42642-0407
(270) 866-1873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
270064
KY
235Z00000X
Speech-Language Pathologist
—
KY
Other
Enumeration date
07/12/2021
Last updated
07/14/2021
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