Individual
KYLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5144 ARCHES DR, NEWBURGH, IN 47630-2081
(812) 499-1572
Mailing address
5144 ARCHES DR, NEWBURGH, IN 47630-2081
(812) 499-1572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012210A
IN
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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