Individual
KRISTA J MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Mailing address
900 BEASLEY ST, LEXINGTON, KY 40509-4266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252226
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100648110
—
KY
Enumeration date
10/31/2016
Last updated
02/05/2020
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