Individual
DESTANY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8706 S US HIGHWAY 25, CORBIN, KY 40701-4974
(606) 677-1166
Mailing address
432 BOULDER DR, LONDON, KY 40741-8809
(606) 260-7646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
251043
KY
Other
Enumeration date
05/16/2018
Last updated
07/11/2019
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