Individual
KOURTNI SHAREE BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 VETERANS DR, 116A, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
3200 TODDS RD, APT. 305, LEXINGTON, KY 40509-8428
(859) 327-3646
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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