Individual
BETSY KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 WAYNE DR, RICHMOND, KY 40475-2337
(859) 625-0001
(859) 625-1109
Mailing address
212 WAYNE DR, RICHMOND, KY 40475-2337
(859) 625-0001
(859) 625-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002260
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199366
BC FOR PARIS
KY
01
—
000000344016
BC FOR HARRISON
KY
Enumeration date
11/02/2005
Last updated
07/08/2007
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