MS. Susan Charlotte Kiningham

NPI #1750158523 in Shepherdsville, Kentucky

Provider Information

NPI Number: 1750158523
Entity Type: Individual
Name: MS. Susan Charlotte Kiningham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 1707 CEDAR GROVE RD
City: Shepherdsville
State: Kentucky
ZIP Code: 40165-8572
Phone: (502) 633-1007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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