Individual
JILL E KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
834 N SOCORA ST STE 1, WICHITA, KS 67212-3279
(316) 440-3731
(316) 440-3741
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T05200
KS
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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