Individual
AMANDA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
48 MEADOWVIEW CT, CAMPBELLSVILLE, KY 42718-1100
(270) 465-1072
Mailing address
48 MEADOWVIEW CT, CAMPBELLSVILLE, KY 42718-1030
(270) 465-1072
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453
FIRST STEPS
KY
Enumeration date
08/17/2008
Last updated
05/31/2016
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