Individual
EMMANUEL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
56 HICKORY RD, UNIONTOWN, PA 15401-2247
(724) 931-1039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002713
WV
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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