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Individual

COLLEEN M KIRSCH HILTZ WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
282081
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15813869
CAQH
05
7100869080
KY
Enumeration date
12/07/2022
Last updated
07/18/2023
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