Kimberly Jean Waltrip L.C.S.W.

NPI 1174707996 - Social Worker - 1041C0700X

NPI Details
NPI 1174707996
Gender Female
Enumeration Date 12/28/2007
Last Updated 12/28/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
9700 PARK PLAZA AVE
STE. 105
LOUISVILLE KY, 40241-2236, US
Phone (502) 439-7068
Fax
Business Location
9700 PARK PLAZA AVE
STE. 105
LOUISVILLE KY, 40241-2236, US
Phone (502) 439-7068
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Kentucky
License Number 1287
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According to our database, Ms. Kimberly Jean Waltrip L.C.S.W. NPI is 1174707996, taxonomy code is 1041C0700X and license number is 1287, license state is located at Kentucky. Kimberly Jean Waltrip L.C.S.W. physically located at 9700 Park Plaza Ave, Louisville KY, 40241-2236. NPI Number Kimberly Jean Waltrip L.C.S.W. has the Individual type.

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1174707996 NPI number is provided on an as is basis without warranty of any kind. 1174707996 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Jean Waltrip L.C.S.W. are for informational purposes only.