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Individual

BETHANY KISSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2520 REGENCY RD STE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
Mailing address
183 DEVONNE DR, MT STERLING, KY 40353-8309
(859) 404-2222

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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