Basic Information
Provider Information
NPI: 1699294116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KIGHT
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: O.T.
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 109 WIND HAVEN DR STE 100
Address2:  
City: NICHOLASVILLE
State: KY
PostalCode: 403568010
CountryCode: US
TelephoneNumber: 8592242273
FaxNumber: 8592244675
Practice Location
Address1: 109 WIND HAVEN DR STE 100
Address2:  
City: NICHOLASVILLE
State: KY
PostalCode: 403568010
CountryCode: US
TelephoneNumber: 8592242273
FaxNumber: 8592244675
Other Information
ProviderEnumerationDate: 09/15/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X174695KYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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