Individual
KEVIN ATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 N BROADWAY, LEXINGTON, KY 40505-3155
(859) 368-8820
Mailing address
3099 KIRKLEVINGTON DR APT 47, LEXINGTON, KY 40517-2471
(502) 316-0771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255016
KY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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