Individual
HOLLY KIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WILDWOOD DR, OWENSBORO, KY 42303-6147
(812) 430-3122
Mailing address
215 WILDWOOD DR, OWENSBORO, KY 42303-6147
(812) 430-3122
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201112352
KY
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/26/2016
Last updated
05/08/2020
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