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NPI Code Detail

MEDICARE: KIMBERLY M LAFOLLETTE

MEDICARE: KIMBERLY M LAFOLLETTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1378WV
2103TC0700XClinical Psychologist129124KY

General Provider Information

NPI Number : 1386662773
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY M LAFOLLETTE
Provider Business Mailing Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number : 502-541-1289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 05/14/2025

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Directions to “ KIMBERLY M LAFOLLETTE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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