Kris Averell, MSOTR/L

NPI #1043460413 in Prospect, Kentucky

Provider Information

NPI Number
1043460413
Entity Type
Individual
Name
Kris Averell, MSOTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
MSOTR/L
Enumeration Date
Sep 23, 2008
Last Updated
Sep 23, 2008

Practice Location

Address
3103 RIDGEMOOR CT
ZIP Code
40059-8111
Phone
(502) 228-5776

Specialties & Taxonomy Codes

Specialty
Contractor

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