Individual
MRS. CAROL G KIRTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
Mailing address
718 LEBANON AVE, CAMPBELLSVILLE, KY 42718-1808
(270) 572-7993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2065
KY
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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