Individual
KATIE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 KY-121 SUITE K, MURRAY, KY 42071
(270) 767-6397
Mailing address
154 OLD DUNCAN CREEK RD, KIRKSEY, KY 42054-8907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
279177
KY
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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