Individual
MR. CASEY MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
277 BETHLEHEM CHURCH RD, BENTON, KY 42025-6732
(270) 556-3354
Mailing address
277 BETHLEHEM CHURCH RD, BENTON, KY 42025-6732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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