NPI 1043460413

Kris Averell, MSOTRL

Practitioner Contractor Prospect, KY

Practice location

Address: 3103 Ridgemoor CT, Prospect, KY 40059-8111
Phone: (502) 228-5776

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence KY-R3826 (KY)

Other Contractor providers in Kentucky →

Registry record

NPI: 1043460413
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2008
Record last updated: 23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.