Individual
KIM MARIE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
626 OAK RIDGE CHURCH RD, CORBIN, KY 40701-5239
(606) 515-1553
Mailing address
626 OAK RIDGE CHURCH RD, CORBIN, KY 40701-5239
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT003448
KY
Other
Enumeration date
11/03/2006
Last updated
05/21/2016
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