Individual
KIMBERLY KEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3332 NEWBURG RD, LOUISVILLE, KY 40218-2414
(502) 313-4357
Mailing address
12422 CAPTAINS BRIDGE WAY, LOUISVILLE, KY 40223-1650
(757) 784-3260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007302
VA
235Z00000X
Speech-Language Pathologist
Primary
240562
KY
Other
Enumeration date
04/27/2014
Last updated
05/30/2019
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