Individual
MS. KIMBERLY GAYLE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
(502) 633-1316
Mailing address
127 PENNSYLVANIA AVE, LOUISVILLE, KY 40206-2717
(646) 331-7668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287602
KY
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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