Brenda Doreen King, 01/01/2011
NPI #1659620425 in Vine Grove, Kentucky
Provider Information
- NPI Number
- 1659620425
- Entity Type
- Individual
- Name
- Brenda Doreen King, 01/01/2011
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Credential
- 01/01/2011
- Enumeration Date
- Sep 7, 2012
- Last Updated
- Sep 7, 2012
Practice Location
- Address
- 301 ELMHURST AVE
- City
- Vine Grove
- State
- Kentucky
- ZIP Code
- 40175-1211
- Phone
- (270) 317-0669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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