Individual
KERRY DIANNE MINDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
Mailing address
438 ARLINGTON MEADOWS DR, FISHERVILLE, KY 40023-7751
(502) 544-7777
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
04/08/2020
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