Individual
KELLY ANN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 BASS RD, PROSPECT, KY 40059-9384
(502) 228-8359
Mailing address
6301 BASS RD, PROSPECT, KY 40059-9384
(502) 228-8359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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