Individual
PHILIP DOUGLAS KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4229 BARDSTOWN RD, LOUISVILLE, KY 40218-3241
(502) 465-8687
Mailing address
11115 OAK BEND CT, LOUISVILLE, KY 40241-4848
(502) 377-5954
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
280884
KY
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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