Individual
MRS. DONNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
161 KLEVIN ST, SUITE 103, ANCHORAGE, AK 99508
(907) 561-8060
(907) 563-3172
Mailing address
161 KLEVIN ST, SUITE 103, ANCHORAGE, AK 99508
(907) 561-8060
(907) 563-3172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2624
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408402
—
TX
01
—
112240
HUMANA
TX
Enumeration date
02/26/2008
Last updated
09/13/2013
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