Individual
LUCAS KYLE BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
401 LEWIS HARGETT CIR #120, LEXINGTON, KY 40503
(859) 475-4305
Mailing address
111 BALLARD STREET, LAWRENCEBURG, KY 40342
(502) 598-8724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
252634
KY
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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