Most Relevant Information
Provider Data
NPI Number: | 1003548546 |
Provider Name: | KENNETH EDWARD WILSON LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | KY3754 |
Most Important Dates
Enumeration Date: | 06/24/2022 |
Last Updated: | 06/24/2022 |
Provider Practice Location
2250 LEESTOWN RD
LEXINGTON
KY
405111052
Practice Location Phone/Fax
Phone: | 8592334511 |
Fax: | 8592813823 |
Provider Mailing Location
3511 BROOKVIEW DR
LEXINGTON
KY
405171405
Provider Mailing Phone/Fax
Phone: | 8596842170 |
Fax: |