Individual
MRS. LESLIE SUZANNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 NORFLEET DR, SOMERSET, KY 42501-1952
(606) 678-5104
(606) 677-1925
Mailing address
557 SYCAMORE DR, BRONSTON, KY 42518-9679
(606) 561-7472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AO1979
KY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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