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Individual

KYLA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
624 MAYSVILLE RD, MT STERLING, KY 40353-9767
(859) 499-4351
Mailing address
624 MAYSVILLE RD, MT STERLING, KY 40353-9767

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
163506
KY

Other

Enumeration date
09/10/2021
Last updated
09/13/2021
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