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General NPI Number Information
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NPI Number | 1053294389
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Entity Type | Organization
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Legal Business Name | KENTUCKY KIDS THERAPY PLLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 4750 HARTLAND PKWY STE 248
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City | LEXINGTON
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State | KY
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Zip | 40515-1561
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Country | US
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Telephone | 859-230-7952
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Fax | 859-347-3998
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Provider Business Mailing Address
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Address Line | 233 TAHOE WAY
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City | RICHMOND
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State | KY
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Zip | 40475-7957
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Country | US
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Telephone |
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Fax | 859-347-3998
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KRISTIN STENSON
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Credential | OTR/L
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Telephone | 859-230-7952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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