KIMBERLY MICHELLE DERRICKSON

LOUISA, KY
NPI1730834524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-02-21
Last Update Date2022-02-21
Business Address
KIMBERLY MICHELLE DERRICKSON PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
KIMBERLY MICHELLE DERRICKSON PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938