Individual
DR. KASEY LYNN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
115 S 5TH ST, BARDSTOWN, KY 40004-1108
(502) 348-5125
Mailing address
3906 OAKLEAF LN, LOUISVILLE, KY 40219-4218
(502) 643-4084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004528A
IN
152W00000X
Optometrist
Primary
2400DT
KY
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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