Individual
DARIA KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
125 LOCUST AVE, PADUCAH, KY 42001-9010
(270) 556-8037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T5967
KY
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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