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Individual

KELLIE ELIZABETH KNASEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 HOME RD, COVINGTON, KY 41011-5634
(859) 292-4141
Mailing address
200 HOME RD, COVINGTON, KY 41011-5634
(859) 292-4141

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259585
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0065116
OH
05
7101001140
KY
Enumeration date
08/29/2024
Last updated
11/13/2024
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