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Individual

INGRID KELLY

Active
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Individual

INGRID KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
120196
NV
314000000X
Skilled Nursing Facility
1047
HI
314000000X
Skilled Nursing Facility
Primary
OC012789
PA

Other

Enumeration date
06/27/2013
Last updated
06/27/2013
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