Individual
KIMBERLY W SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115 CROSSFIELD DR STE C, VERSAILLES, KY 40383-1845
(502) 223-7403
(502) 223-5016
Mailing address
115 CROSSFIELD DR STE C, VERSAILLES, KY 40383-1845
(502) 223-7403
(502) 223-5016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108991
ANTHEM
—
01
—
000000385417
ANTHEM
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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