Individual
HALEY DOUGLAS KIDD MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1043 BROOKLYN BLVD, BEREA, KY 40403-1090
(859) 228-0551
Mailing address
2150 LEXINGTON RD STE G, RICHMOND, KY 40475-7924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
174692
KY
Other
Enumeration date
10/01/2017
Last updated
07/19/2023
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