Individual
MS. KIMBERLY S WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
184 W SPRINGMILL DR, SHEPHERDSVILLE, KY 40165-8909
(502) 428-1781
Mailing address
184 W SPRINGMILL DR, SHEPHERDSVILLE, KY 40165-8909
(502) 428-1781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3646
KY
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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