Individual
MS. KELLYE MICHELLE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 TULIP ST, PAINTSVILLE, KY 41240-9305
(859) 539-7004
Mailing address
PO BOX 548, PAINTSVILLE, KY 41240-0548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4674
KY
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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