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General NPI Number Information
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NPI Number | 1669327151
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Entity Type | Organization
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Legal Business Name | KENTUCKIANA PSYCHOLOGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 9400 WILLIAMSBURG PLZ STE 310
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City | LOUISVILLE
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State | KY
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Zip | 40222-6016
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Country | US
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Telephone | 502-627-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 WILLIAMSBURG PLZ STE 310
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City | LOUISVILLE
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State | KY
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Zip | 40222-6016
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Country | US
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Telephone | 502-627-0303
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BYRON A WHITE
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Credential | PSY.D.
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Telephone | 502-627-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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