Individual
BRENDA KAY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1408 E HARRISON ST, KIRKSVILLE, MO 63501-3242
(660) 349-0868
Mailing address
1408 E HARRISON ST, KIRKSVILLE, MO 63501-3242
(660) 349-0868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117726
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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