Individual
KELLY CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 KENTON STATION RD, MAYSVILLE, KY 41056-9619
(606) 759-5510
Mailing address
731 KENTON STATION RD, MAYSVILLE, KY 41056-9619
(606) 759-5510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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