Individual
KRISTY STAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
R2169
KY
225XP0200X
Pediatric Occupational Therapist
Primary
133770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100340590
—
KY
Enumeration date
01/08/2007
Last updated
07/17/2020
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