Individual
MS. KIYA LACHELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 LUCILLE DR, LEXINGTON, KY 40511-8797
(859) 421-0210
Mailing address
457 LUCILLE DR, LEXINGTON, KY 40511-8797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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