Individual
JOHN DAVID KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003740
KY
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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