Individual
KIMBERLY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY, 3RD FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-6000
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-6000
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3235
KY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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