Individual
LAUREN ALEXANDRA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 FARMER RD, WILLARD, MO 65781-9509
(417) 742-0930
Mailing address
419 STONE CREEK RD, WILLARD, MO 65781-8386
(870) 219-1194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020037942
MO
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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