Individual
KIMBERLY J BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1211 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 274-0888
Mailing address
1211 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 274-0888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-2012
KY
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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