Individual
SAVANNAH DAWN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1156 HIGHWAY 14, ELLSWORTH, KS 67439-8661
(785) 472-3167
Mailing address
202 S COLORADO ST, KANOPOLIS, KS 67454-0091
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00856
KS
224Z00000X
Occupational Therapy Assistant
T-03189
KS
Other
Enumeration date
04/09/2012
Last updated
12/11/2020
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