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Individual

CYNTHIA KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
6698 LACY RD, HAGERSTOWN, IN 47346-9722
(765) 969-8484

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002733A
IN

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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