Individual
SARAH JANE WIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 REGENCY RD # 150, LEXINGTON, KY 40503-2921
(859) 224-0834
Mailing address
980 FREDERICKSBURG RD, LEXINGTON, KY 40504-3118
(859) 420-4519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
251372
KY
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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