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1508443797
KIMBERLY ADELLE FANNING
LOUISVILLE, KY
NPI
1508443797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
KIMBERLY ADELLE FANNING
11840 COMMONWEALTH DR
LOUISVILLE, KY 40299-2309
Phone number: 502-633-1007
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Mailing Address
KIMBERLY ADELLE FANNING
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
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