Individual
PATRICIA KAY KISHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1937 MUD RIVER UNION RD, BELTON, KY 42324-3331
(270) 820-5065
Mailing address
1937 MUD RIVER UNION RD, BELTON, KY 42324-3331
(270) 820-5065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258825
KY
Other
Enumeration date
02/12/2021
Last updated
09/16/2024
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