Individual
KIMBERLYN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 TENNENT DR, WILMORE, KY 40390-1287
(432) 638-1019
Mailing address
617 TENNENT DR, WILMORE, KY 40390-1287
(432) 638-1019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14062651
KY
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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