Individual
KELLY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6809 BEBE CT., LOUISVILLE, KY 40219
(502) 381-2137
(502) 964-8771
Mailing address
6809 BEBE CT, LOUISVILLE, KY 40219-2501
(502) 381-2137
(502) 964-8771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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