Provider Demographics
NPI:1104644772
Name:KINGSOLVER, SARALYN
Entity type:Individual
Prefix:
First Name:SARALYN
Middle Name:
Last Name:KINGSOLVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 BELVOIR DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3213
Mailing Address - Country:US
Mailing Address - Phone:859-533-3389
Mailing Address - Fax:
Practice Address - Street 1:3408 BELVOIR DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-3213
Practice Address - Country:US
Practice Address - Phone:859-533-3389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist