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Individual

MR. GREGORY KYLE HAROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
(859) 254-2743

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1593
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
09/08/2010
Last updated
06/30/2014
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