Individual
KIMBERLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 BYPASS RD, BRANDENBURG, KY 40108
(270) 422-3971
Mailing address
2020 BYPASS RD, BRANDENBURG, KY 40108
(270) 422-3971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252430
KY
1041C0700X
Clinical Social Worker
34008671A
IN
1041C0700X
Clinical Social Worker
7026
KY
Other
Enumeration date
07/31/2014
Last updated
05/03/2022
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