Individual
KENNETH PATRICK O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 TRAVIS DR, RICHMOND, KY 40475-7803
(859) 582-8743
Mailing address
1325 TRAVIS DR, RICHMOND, KY 40475-7803
(859) 582-8743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140166
KY
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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