Individual
KIERRA LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 WOLFE AVE, LOUISVILLE, KY 40213-1745
(502) 262-4848
Mailing address
1206 WOLFE AVE, LOUISVILLE, KY 40213-1745
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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