Organization
LIFE SKILL BUILDING PLLC
Active
Other names
Kelly Scott
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE SCOTT MSOTR/L, LMTB (CEO)
(502) 415-0321
Entity
Organization
Contact information
Practice address
3111 SUMMERFIELD DR, LOUISVILLE, KY 40220-3329
(502) 415-0321
Mailing address
3111 SUMMERFIELD DR, LOUISVILLE, KY 40220-3329
(502) 415-0321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3522
KY
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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