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Individual

MS. KIMBERLY REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS-CCC, SLP

Contact information

Practice address
1707 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-8572
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1320
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1320
KY LICENSE
KY
Enumeration date
02/27/2014
Last updated
02/15/2024
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