Individual
KELCI DEE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 RODEO DR, ERLANGER, KY 41018-1279
(513) 815-5585
(859) 342-0079
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007808
KY
Other
Enumeration date
10/04/2017
Last updated
10/21/2019
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