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Individual

KIMBERLEE ANN HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
713 BROADWAY ST STE 301B, PAINTSVILLE, KY 41240-1465
(606) 372-1234
(606) 372-1240
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 874-7777
(606) 874-7095

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
166877
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100779550
KY
Enumeration date
09/30/2021
Last updated
11/17/2021
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