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Individual

DR. KENNETH RANDALL STARKEY

Active
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Individual

DR. KENNETH RANDALL STARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

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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