BRENDA DOREEN KING

VINE GROVE, KY
NPI1659620425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: KY  252Y00000X)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
-- BRENDA DOREEN KING 01/01/2011
301 ELMHURST AVE
VINE GROVE, KY 40175-1211
Phone number: 270-317-0669
Mailing Address
-- BRENDA DOREEN KING 01/01/2011
301 ELMHURST AVE
VINE GROVE, KY 40175-1211
Phone number: 270-317-0669