Individual
KIMBERLY SLONE CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 331-5478
Mailing address
614 MEMORY LN, ELIZABETHTOWN, KY 42701-4106
(606) 521-0304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
251105
KY
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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