Individual
MRS. ELIZABETH SOUTHARD KIRKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5246
(270) 825-5497
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(270) 326-3949
(270) 326-3954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592974
BSBS
KY
05
—
7100471320
—
KY
Enumeration date
06/13/2007
Last updated
12/07/2020
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