Individual
CANDACE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1369 PUCKETT RD, LAWRENCEBURG, KY 40342-9479
(502) 839-9928
Mailing address
1369 PUCKETT RD, LAWRENCEBURG, KY 40342-9479
(502) 839-9928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1644
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1644
KENTUCKY STATE LICENSE
KY
Enumeration date
02/14/2007
Last updated
05/26/2013
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