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Individual

ALYSAN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
172V00000X
Community Health Worker

Other

Enumeration date
10/19/2021
Last updated
04/19/2023
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