Individual
KELLI CLAUDETTE EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 CHAMPIONS TRACE LN STE 102, LOUISVILLE, KY 40218-3496
(502) 736-3051
Mailing address
4710 CHAMPIONS TRACE LN STE 102, LOUISVILLE, KY 40218-3496
(502) 736-3051
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
170844
KY
Other
Enumeration date
11/20/2016
Last updated
08/29/2022
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