Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 002371 | KY |
NPI | 1407276942 |
---|---|
Provider Name | Karen Margaret Stratton |
First Address | Lexington, KY 40513-1021 |
Second Address | Lexington, KY 40513-1021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 23/04/2014 |