Individual
MRS. KENDRA HALL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4093 WOODLAWN RD, BARDSTOWN, KY 40004-9205
(502) 510-2912
Mailing address
4093 WOODLAWN RD, BARDSTOWN, KY 40004-9205
(502) 510-2912
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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