Most Relevant Information
Provider Data
| NPI Number: | 1003567660 |
| Provider Name: | BETHANY MAE KILLIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2022 |
| Last Updated: | 01/14/2022 |
Provider Practice Location
185 E LINCOLN TRAIL BLVD
RADCLIFF
KY
401601253
Practice Location Phone/Fax
| Phone: | 2703171318 |
| Fax: |
Provider Mailing Location
185 E LINCOLN TRAIL BLVD
RADCLIFF
KY
401601253
Provider Mailing Phone/Fax
| Phone: | 2703171318 |
| Fax: |