Individual
KRISTIN WESLEY PARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8691 HAWLEY GIBSON ROAD, CRESTWOOD, KY 40014-7401
(502) 550-2208
Mailing address
8691 HAWLEY GIBSON ROAD, CRESTWOOD, KY 40014-7401
(502) 550-2208
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R4039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665938
ANTHEM
KY
01
—
50033725
PASSPORT
KY
Enumeration date
11/30/2008
Last updated
01/03/2020
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