Individual
DR. KENNETH RANDALL STARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1308 WEST FIFTH STREET, LONDON, KY 40741
(606) 877-3479
(606) 877-3479
Mailing address
PO BOX 1975, LONDON, KY 40743-1975
(606) 877-3479
(606) 877-3479
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1062
KY
103T00000X
Psychologist
1062
KY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0385
KY
103TC0700X
Clinical Psychologist
Primary
1062
KY
Other
Enumeration date
07/02/2007
Last updated
10/16/2012
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