Individual
JANA NICOLLE AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 N KEENELAND DR APT 2, RICHMOND, KY 40475-8596
(502) 827-9179
Mailing address
423 N KEENELAND DR APT 2, RICHMOND, KY 40475-8596
(502) 827-9179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
267596
KY
Other
Enumeration date
12/08/2020
Last updated
08/24/2023
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