The Kid Spot

NPI #1083005037 in Campbellsville, Kentucky

Provider Information

NPI Number: 1083005037
Entity Type: Organization
Organization Name: The Kid Spot
Primary Specialty: Specialist
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 121 CASEY ST STE A
City: Campbellsville
State: Kentucky
ZIP Code: 42718-6858
Phone: (270) 465-7768

Authorized Official

Name: BRANDY CLOSE, MS, OTR/L
Title: CO-OWNER AND OT
Phone: (270) 465-7768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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