Individual
MARTHA LYNN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
2716 SHIPPEN AVE, LOUISVILLE, KY 40206-2322
(502) 541-8877
Mailing address
1748 FRANKFORT AVE, LOUISVILLE, KY 40206-3149
(502) 541-8877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
656
KY
Other
Enumeration date
08/17/2006
Last updated
07/18/2008
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