Individual
MRS. KIMBERLY A CHILDERS DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 745-2152
(859) 745-2153
Mailing address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 745-2152
(859) 745-2153
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
R0823
KY
Other
Enumeration date
09/14/2005
Last updated
01/31/2012
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