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Individual

MRS. KIMBERLY D PARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,OTR/L

Contact information

Practice address
115 KIANA CT, PADUCAH, KY 42001-6787
(270) 534-1200
Mailing address
3170 DUTCHMAN LAKE RD, VIENNA, IL 62995-2126
(618) 771-6675

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007850
IL
225X00000X
Occupational Therapist
KY-R3632
KY

Other

Enumeration date
02/07/2007
Last updated
01/09/2020
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