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Individual

KEVIN LEWIS LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
KPSS

Contact information

Practice address
2735 BARDSTOWN RD, ST CATHARINE, KY 40061-9435
(833) 745-1020
Mailing address
6593 KY 910, WINDSOR, KY 42565-6045
(270) 572-0856

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1204107
KY

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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