Individual
KELLY ELIZABETH HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
906 E MOUNTAIN PKWY, ALBAREE HEALTH SERVICES, SALYERSVILLE, KY 41465-8379
(606) 349-8100
(606) 349-8150
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 349-8100
(606) 349-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0536714
MEDICARE PTAN
KY
05
—
9500457800
—
KY
Enumeration date
05/10/2006
Last updated
06/01/2017
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