Individual
DAWN R KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1913 E 19TH AVE, WINFIELD, KS 67156-5303
(620) 221-1990
(620) 221-4523
Mailing address
1913 E 19TH AVE, WINFIELD, KS 67156-5303
(620) 221-1990
(620) 221-4523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02099
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141047
BC/BS PROVIDER NUMBER
KS
Enumeration date
10/25/2006
Last updated
07/08/2007
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