Individual
MARY KIMBLE KEENAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Mailing address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
413
KY
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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