Individual
KENNETH R KICHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Mailing address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
(859) 879-0918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008078
KY
225100000X
Physical Therapist
1184532
TX
Other
Enumeration date
03/23/2011
Last updated
01/03/2022
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