Individual
MISS KIMBERLEY RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 321-0408
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 321-0408
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111853
KY
Other
Enumeration date
02/01/2019
Last updated
03/06/2019
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