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Individual

KAYLA KRONINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
309 ROSEWOOD DR, LOUISVILLE, KY 40223-3103
(614) 940-8865
Mailing address
309 ROSEWOOD DR, LOUISVILLE, KY 40223-3103
(614) 940-8865

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
167597
KY
225X00000X
Occupational Therapist
31006143A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167957
KENTUCKY OCCUPATIONAL THERAPY LICENSURE
KY
01
31006143A
INDIANA OCCUPATIONAL THERAPY LICENSURE
IN
Enumeration date
09/01/2016
Last updated
09/01/2016
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