Individual
KYLE RICHARD NOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
635 MAXWELTON CT, LEXINGTON, KY 40508-4012
(502) 303-2980
Mailing address
635 MAXWELTON CT, LEXINGTON, KY 40508-4012
(502) 303-2980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
245267
KY
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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