Individual
CECILE DIANE KILLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
Mailing address
135 PIN OAK LN, MADISONVILLE, KY 42431-8741
(270) 339-6571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131798
KY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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